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Organization

UNICORN SUPPORTIVE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONDAY J GABRIEL (ADMINISTRATOR)
(856) 278-5188
Entity
Organization

Contact information

Practice address
890 E WALNUT RD, VINELAND, NJ 08360-5032
(856) 278-5188
Mailing address
22 VALLEY FORGE DR, SWEDESBORO, NJ 08085-4230
(856) 278-5188

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
05/24/2018
Last updated
05/24/2018
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