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NPI Code Detail

MEDICARE: THERAPEUTIC LEARNING CENTER

MEDICARE: THERAPEUTIC LEARNING CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1154813392
Entity Type Code : Organization
Provider Name (Legal Business Name) : THERAPEUTIC LEARNING CENTER
Provider Business Mailing Address
First Line : 24 GLENOLDEN LN
Second Line :
City : WILLINGBORO
State : NJ
Zip : 08046-3212
Country : US
Telephone Number : 609-877-4111
Fax Number : 609-877-5551
Provider Business Practice Location Address
First Line : 24 GLENOLDEN LN
Second Line :
City : WILLINGBORO
State : NJ
Zip : 08046-3212
Country : US
Telephone Number : 609-877-4111
Fax Number : 609-877-5551
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. STEVEN ALAN MORSE
Credential : ED.D.
Telephone Number : 609-877-4111
Provider Enumeration Date : 06/04/2018
Last Update Date : 06/04/2018

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Directions to “THERAPEUTIC LEARNING CENTER ” Practice Location

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