Organization
A BETTER CONCEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOVONNEA CHARMAINE MCKEVER MHS (ADMINISTRATOR)
(856) 287-4191
Entity
Organization
Contact information
Practice address
20 WILDCAT BRANCH DR, SICKLERVILLE, NJ 08081-4890
(856) 287-4191
(856) 740-0605
Mailing address
20 WILDCAT BRANCH DR, SICKLERVILLE, NJ 08081-4890
(856) 287-4191
(856) 740-0605
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450153322
CERTIFICATE OF FORMATION
NJ
05
—
0575534
—
NJ
Enumeration date
09/26/2017
Last updated
07/21/2022
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