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SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED NPI 1437378379


NPI Information

NPI: 1437378379
Provider Name: SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
212 MADISON AVE E
MAGNOLIA, NJ
ZIP 08049
Phone: (856) 541-1700
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SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED is a community behavioral health in Magnolia, NJ. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED NPI is 1437378379. The provider is registered as an organization entity type.

The provider's business location address is:

212 MADISON AVE E
MAGNOLIA, NJ
ZIP 08049-409
Phone: (856) 541-1700
Fax: (856) 309-9716

The provider's authorized official is Theresa C Wilson .
The authorized official title is President/ceo and has the following contact phone number (856) 541-1700.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive Care403010348NEW JERSEYNo
2320800000XCommunity Based Residential Treatment Facility, Mental Illness40301D050041NEW JERSEYNo
3320800000XCommunity Based Residential Treatment Facility, Mental Illness40301D050240NEW JERSEYNo
4251S00000XCommunity/Behavioral Health403010205NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10523780MEDICAIDNEW JERSEY
20548481MEDICAIDNEW JERSEY
3403010205OTHERNEW JERSEYDMHS
47477007MEDICAIDNEW JERSEY
5403010348OTHERNEW JERSEYDMHAS LICENSE
640301D050240OTHERNEW JERSEYDMHAS
70083909MEDICAIDNEW JERSEY
840301D050041OTHERNEW JERSEYDMHAS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.