NPI 1922379056
The Cooley Jackson Foundation
Practice location
- Address
- 1081 Lakeshore Dr, Camden, NJ 08104-2627
- Phone
- (856) 912-9404
Authorised official
- Name
- Lamont Jackson
- Title
- Ceo/President
- Phone
- (856) 912-9404
Registered specialties
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Registry record
- NPI
- 1922379056
- Entity type
- Organization
- NPI issued
- 20 Jan 2012
- Record last updated
- 20 Jan 2012
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.