| Godisinc Llc | |
|
35 S Burlington Rd Bridgeton NJ 08302-2262 | |
| (856) 332-0290 | |
| Not Available |
| Full Name | Godisinc Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 35 S Burlington Rd, Bridgeton, New Jersey |
| Authorized Official Name and Position | Wayne M Magee (SUBSTANCE ABUSE COUNSELOR) |
| Authorized Official Contact | 8563320290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Godisinc Llc 35 S Burlington Rd Bridgeton NJ 08302-2262 Ph: (856) 332-0290 | Godisinc Llc 35 S Burlington Rd Bridgeton NJ 08302-2262 Ph: (856) 332-0290 |
| NPI Number | 1902529126 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 09/22/2022 |
| Certification Date | 09/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902529126 | NPI | - | NPPES |
| 37LC00205500 | Other | NJ | LCADC LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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