| Vip Community Services | |
|
2403 Doral Dr Blackwood NJ 08012-5430 | |
| (609) 903-8632 | |
| (866) 472-0563 |
| Full Name | Vip Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2403 Doral Dr, Blackwood, New Jersey |
| Authorized Official Name and Position | Keva White (OWNER) |
| Authorized Official Contact | 6099038632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Community Services 2403 Doral Dr Blackwood NJ 08012-5430 Ph: (609) 903-8632 | Vip Community Services 2403 Doral Dr Blackwood NJ 08012-5430 Ph: (609) 903-8632 |
| NPI Number | 1629343983 |
|---|---|
| Provider Enumeration Date | 03/19/2012 |
| Last Update Date | 03/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629343983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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