Organization
GREAT MINDS COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMEKI JONES (ADMINISTRATIVE ASSISTANT)
(609) 531-5003
Entity
Organization
Contact information
Practice address
817 BORDENTOWN RD, BURLINGTON, NJ 08016-1927
(609) 410-9363
Mailing address
PO BOX 2487, WILLINGBORO, NJ 08046-6587
(609) 410-9363
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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