| South Jersey Behavioral Health Resources Incorporated | |
|
53 Haddonfield Rd Ste 316 Cherry Hill NJ 08002-4802 | |
| (856) 361-2710 | |
| (856) 346-3627 |
| Full Name | South Jersey Behavioral Health Resources Incorporated |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 53 Haddonfield Rd Ste 316, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Theresa Wislon C Wilson (PRESIDENT/ CEO) |
| Authorized Official Contact | 8563611120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Jersey Behavioral Health Resources Incorporated 2500 Mcclellan Ave Ste 300 Pennsauken NJ 08109-0001 Ph: (856) 361-1100 | South Jersey Behavioral Health Resources Incorporated 53 Haddonfield Rd Ste 316 Cherry Hill NJ 08002-4802 Ph: (856) 361-2710 |
| NPI Number | 1104348911 |
|---|---|
| Provider Enumeration Date | 07/13/2017 |
| Last Update Date | 07/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104348911 | NPI | - | NPPES |
| 0515752 | Medicaid | NJ | |
| 403010904 | Other | NJ | NJ DMHAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 403010904 (New Jersey) | Primary |
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