Four Walls The 4WALLS LLC
Community/Behavioral Health in Voorhees, New Jersey
1811359060- Practice location
- 2511 Hamilton Dr, Voorhees, NJ 08043-2642
- Phone
- 856-650-6556
- Fax
- —
- Last updated
- March 27, 2016
Four Walls The 4WALLS LLC is a healthcare organization based in Voorhees, NJ. Four Walls The 4WALLS LLC practices in Voorhees, NJ. The NPI Number for Four Walls The 4WALLS LLC is 1811359060 and holds a License No. 0400647708 (NJ). The current practice location address for Four Walls The 4WALLS LLC is 2511 Hamilton Dr, Voorhees, NJ 08043-2642 and can be reached out via phone at 856-650-6556.
Provider Profile Details
- NPI Number
- 1811359060
- Provider Name
- Four Walls The 4WALLS LLC
- Provider Entity Type
- Organization
- Address
- 2511 Hamilton Dr, Voorhees, NJ 08043-2642
- Phone Number
- 856-650-6556
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Jason Ali Brice, MED · Executive Director · 856-650-6556
- Other Names
- 4WALLS (Other Name)
- Provider Enumeration Date
- March 27, 2016
- Last Update Date
- March 27, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2511 Hamilton Dr
Voorhees, NJ 08043-2642 - City
- Voorhees
- State
- New Jersey
- Zip
- 08043-2642
- Phone Number
- 856-650-6556
Provider Business Mailing Address Details
- Address
- Po Box 201
Somerdale, NJ 08083-0201 - City
- Somerdale
- State
- NJ
- Zip
- 08083-0201
- Phone Number
- 856-650-6556
License Information
- License Number
- 0400647708
- License State
- NJ
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Four Walls The 4WALLS LLC?
The NPI number of Four Walls The 4WALLS LLC is 1811359060. It was assigned on March 27, 2016 and is currently active in the NPPES registry.
What is the specialty of Four Walls The 4WALLS LLC?
Four Walls The 4WALLS LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in NJ under license number 0400647708.
Where does Four Walls The 4WALLS LLC practice?
The practice location is 2511 Hamilton Dr, Voorhees, NJ 08043-2642. The office can be reached at 856-650-6556 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811359060 directly on the NPPES registry website.