| Cooperative Care Partnership, Inc. | |
|
1076 Route 47 S Rio Grande NJ 08242-1608 | |
| (609) 741-6363 | |
| (609) 435-5058 |
| Full Name | Cooperative Care Partnership, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1076 Route 47 S, Rio Grande, New Jersey |
| Authorized Official Name and Position | Shanna D Learn (CFO) |
| Authorized Official Contact | 6097416363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooperative Care Partnership, Inc. 1076 Route 47 S Rio Grande NJ 08242-1608 Ph: (609) 741-6363 | Cooperative Care Partnership, Inc. 1076 Route 47 S Rio Grande NJ 08242-1608 Ph: (609) 741-6363 |
| NPI Number | 1598124828 |
|---|---|
| Provider Enumeration Date | 02/15/2016 |
| Last Update Date | 02/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598124828 | NPI | - | NPPES |
| 0433489 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2000559 (New Jersey) | Primary |
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