THE COOLEY JACKSON FOUNDATION NPI 1922379056

NPI Information

  • NPI: 1922379056
  • Provider Name: THE COOLEY JACKSON FOUNDATION
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Other Name: PROJECT GROWTH
  • Address: 1081 LAKESHORE DR
    CAMDEN, NJ
    ZIP 08104
  • Phone: (856) 912-9404

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NPI Details

THE COOLEY JACKSON FOUNDATION is a residential treatment facility emotionally disturbed children in Camden, NJ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. THE COOLEY JACKSON FOUNDATION NPI is 1922379056. The provider is registered as an organization entity type.
The provider Other Name Is Project Growth.

The provider's business location address is:

1081 LAKESHORE DR
CAMDEN, NJ
ZIP 08104-627
Phone: (856) 912-9404

The provider's authorized official is Lamont Jackson .
The authorized official title is Ceo/president and has the following contact phone number (856) 912-9404.

The enumeration date for this NPI number is 1/20/2012 and was last updated on 1/20/2012.

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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNEW JERSEYYes

What is NPI?

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This page was last updated on: 11/21/2025

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