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CHILDREN'S CRISIS TREATMENT CENTER NPI 1730847849


NPI Information

NPI: 1730847849
Provider Name: CHILDREN'S CRISIS TREATMENT CENTER
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

CLIA Number: 31D1087722

Address:
740 CHESTNUT ST
CAMDEN, NJ
ZIP 08103
Phone: (215) 496-0707
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CHILDREN'S CRISIS TREATMENT CENTER is an adolescent and children mental health clinic center in Camden, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. CHILDREN'S CRISIS TREATMENT CENTER NPI is 1730847849. The provider is registered as an organization entity type.

The provider's business location address is:

740 CHESTNUT ST
CAMDEN, NJ
ZIP 08103-402
Phone: (215) 496-0707

The provider's authorized official is Andrea S. Ettingoff .
The authorized official title is Director Of Clinical And Quality and has the following contact phone number (215) 496-0707.

The CLIA number assigned to this NPI record is 31D1087722 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2021 and was last updated on 12/6/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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: 4/28/2024

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