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371 Glassboro Rd Woodbury Heights NJ 08097-1026 | |
| (856) 669-6900 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 371 Glassboro Rd, Woodbury Heights, New Jersey |
| Authorized Official Name and Position | Robert Laguarina (CEO) |
| Authorized Official Contact | 8566696900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
371 Glassboro Rd Woodbury Heights NJ 08097-1026 Ph: (856) 669-6900 | 371 Glassboro Rd Woodbury Heights NJ 08097-1026 Ph: (856) 669-6900 |
| NPI Number | 1912437914 |
|---|---|
| Provider Enumeration Date | 06/13/2017 |
| Last Update Date | 06/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912437914 | NPI | - | NPPES |
| 0443867 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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