SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED NPI 1104348911

NPI Information

NPI: 1104348911
Provider Name: SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
53 HADDONFIELD RD STE 316
CHERRY HILL, NJ
ZIP 08002
Phone: (856) 361-2710
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SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED is a mental health (including community mental health center) clinic center in Cherry Hill, NJ. SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES INCORPORATED NPI is 1104348911. The provider is registered as an organization entity type.

The provider's business location address is:

53 HADDONFIELD RD STE 316
CHERRY HILL, NJ
ZIP 08002-802
Phone: (856) 361-2710
Fax: (856) 346-3627

The provider's authorized official is Theresa Wislon C Wilson .
The authorized official title is President/ Ceo and has the following contact phone number (856) 361-1120.

The enumeration date for this NPI number is 7/13/2017 and was last updated on 7/13/2017.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	403010904	NEW JERSEY	Yes

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
1	0515752	MEDICAID	NEW JERSEY
2	403010904	OTHER	NEW JERSEY	NJ DMHAS

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

NPI Synchronization or Removal

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