| Collaborative Support Program Of New Jersey, Inc | |
|
11 Spring St Freehold NJ 07728-1843 | |
| (732) 780-1175 | |
| (732) 780-8977 |
| Full Name | Collaborative Support Program Of New Jersey, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11 Spring St, Freehold, New Jersey |
| Authorized Official Name and Position | Steven M. Blackburn (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7324140081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Support Program Of New Jersey, Inc 11 Spring St Freehold NJ 07728-1843 Ph: (732) 780-1175 | Collaborative Support Program Of New Jersey, Inc 11 Spring St Freehold NJ 07728-1843 Ph: (732) 780-1175 |
| NPI Number | 1871314385 |
|---|---|
| Provider Enumeration Date | 10/18/2024 |
| Last Update Date | 10/18/2024 |
| Certification Date | 10/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871314385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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