Whalio Doctors

NPI 1922379056

The Cooley Jackson Foundation

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Camden, NJ

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
Residential Treatment Facilities Taxonomy 322D00000X

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.