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Organization

IMPACT ENDEAVORS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA HALLWORTH LCSW (OWNER)
(856) 229-2032
Entity
Organization

Contact information

Practice address
44 COOPER ST STE 108, WOODBURY, NJ 08096-4642
(856) 229-2032
Mailing address
554 CAPRI CT, WILLIAMSTOWN, NJ 08094-3044
(856) 229-2032

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
44SC0130790
NJ

Other

Enumeration date
08/04/2018
Last updated
08/04/2018
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