NPI 1003262106

Catholic Charities Diocese of Trenton

Organisation Mental Illness Community Based Residential Treatment Facility Medford, NJ

Practice location

Address: 417 Tabernacle Rd, Medford, NJ 08055-2019
Phone: (609) 654-7871

Authorised official

Name: Valerie McKinnon
Title: House Manager
Phone: (609) 654-7871

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in New Jersey →

Registry record

NPI: 1003262106
Entity type: Organization
NPI issued: 6 May 2016
Record last updated: 6 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.