Childrens Intensive in Community Program
NPI #1669663746 in Cinnaminson, New Jersey
Provider Information
- NPI Number
- 1669663746
- Entity Type
- Organization
- Organization Name
- Childrens Intensive in Community Program
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Aug 5, 2007
- Last Updated
- Aug 5, 2007
Practice Location
- Address
- 101 RT 130 S
- Address 2
- GRANT BUILDING SUITE 440
- City
- Cinnaminson
- State
- New Jersey
- ZIP Code
- 08077-2845
- Phone
- (856) 829-9440
Authorized Official
- Name
- MOMAH G COOPER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (856) 829-9440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Social Worker - Clinical — Clinical |
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