| Bouncing Back Llc | |
|
340 Hidden Dr Blackwood NJ 08012-4443 | |
| (856) 254-0122 | |
| (856) 369-8970 |
| Full Name | Bouncing Back Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 340 Hidden Dr, Blackwood, New Jersey |
| Authorized Official Name and Position | Crystal Hawkins (OWNER) |
| Authorized Official Contact | 8562540122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bouncing Back Llc 340 Hidden Dr Blackwood NJ 08012-4443 Ph: (856) 254-0122 | Bouncing Back Llc 340 Hidden Dr Blackwood NJ 08012-4443 Ph: (856) 254-0122 |
| NPI Number | 1538620034 |
|---|---|
| Provider Enumeration Date | 03/27/2019 |
| Last Update Date | 03/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538620034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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