Organization
REBUILD YOUR LIFE LLC
Active
Organization
REBUILD YOUR LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN ORITI (OWNER)
(856) 904-8888
Entity
Organization
Contact information
Practice address
488 GLASSBORO RD, SUITE 104, FIRST FLOOR, WOODBURY HTS, NJ 08097-1400
(856) 904-8888
(856) 853-0024
Mailing address
488 GLASSBORO RD, SUITE 104, FIRST FLOOR, WOODBURY HTS, NJ 08097-1400
(856) 904-8888
(856) 853-0024
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1632435
NJ
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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