Organization
CAPITOL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERI FRADE (DIRECTOR FISCAL AND SUPPORTS)
(844) 437-3482
Entity
Organization
Contact information
Practice address
6 LADDEY LANE, SPARTA, NJ 07871
(844) 437-3482
Mailing address
7 WATERLOO RD, STANHOPE, NJ 07874-2621
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0483851
—
NJ
Enumeration date
09/13/2018
Last updated
09/13/2018
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