| Sovereign Care Services | |
|
415 Columbus Ave Trenton NJ 08629-2706 | |
| (609) 450-3504 | |
| Not Available |
| Full Name | Sovereign Care Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 415 Columbus Ave, Trenton, New Jersey |
| Authorized Official Name and Position | Thelma Wilson (PRESIDENT) |
| Authorized Official Contact | 6094503504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sovereign Care Services 415 Columbus Ave Trenton NJ 08629-2706 Ph: (609) 450-3504 | Sovereign Care Services 415 Columbus Ave Trenton NJ 08629-2706 Ph: (609) 450-3504 |
| NPI Number | 1679015424 |
|---|---|
| Provider Enumeration Date | 11/10/2016 |
| Last Update Date | 06/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679015424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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