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General NPI Number Information
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NPI Number | 1194665737
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Entity Type | Organization
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Legal Business Name | SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES, INC.
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Dates
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Enumeration Date | 04/01/2026
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 2500 MCCLELLAN AVE STE 300
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City | PENNSAUKEN
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State | NJ
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Zip | 08109-0001
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Country | US
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Telephone | 856-361-1123
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Fax | 856-488-1450
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Provider Business Mailing Address
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Address Line | 2500 MCCLELLAN AVE STE 300
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City | PENNSAUKEN
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State | NJ
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Zip | 08109-0001
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Country | US
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Telephone | 856-361-1123
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Fax | 856-488-1450
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DEBBIE CHISOLM
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Credential | MA,MSW,LCSW,LPC,LCAD
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Telephone | 215-370-1497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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