Organization
JEFFREY M. HIMMEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY M HIMMEL L.C.S.W. (OWNER)
(857) 371-5827
Entity
Organization
Contact information
Practice address
105 N BLACK HORSE PIKE, RUNNEMEDE, NJ 08078-1629
(856) 371-5827
Mailing address
105 N BLACK HORSE PIKE, RUNNEMEDE, NJ 08078-1629
(856) 371-5827
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05288000
NJ
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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