Organization
GREATER TRENTON CMHC
Active
Other names
Adolescent Day Services
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LEICHENA M BODIE MSW, LCSW (DIRECTOR)
(609) 396-0800
Entity
Organization
Contact information
Practice address
1320 N WILLOW ST, TRENTON, NJ 08638-4526
(609) 396-0800
(609) 396-0881
Mailing address
1320 N WILLOW ST, TRENTON, NJ 08638-4526
(609) 396-0800
(609) 396-0881
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05345200
NJ
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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