Organization
CENTER FOR AFRICAN AMERICAN HEALTH DISPARITIES EDUCATION & RESEARCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER WARREN PHD, CCP (EXECUTIVE DIRECTOR)
(609) 802-8476
Entity
Organization
Contact information
Practice address
125 N HARTFORD AVE, SUITE 7, ATLANTIC CITY, NJ 08401-3547
(609) 802-8476
Mailing address
125 N HARTFORD AVE, SUITE 7, ATLANTIC CITY, NJ 08401-3547
(609) 802-8476
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
1744R1102X
Research Study Specialist
—
—
174H00000X
Health Educator
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
12/04/2020
Last updated
01/09/2021
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