Active NPIOrganization

The Cooley Jackson Foundation

Residential Treatment Facility, Emotionally Disturbed Children in Camden, New Jersey

NPI Number1922379056
Practice location
1081 Lakeshore Dr, Camden, NJ 08104-2627
Fax
—
Last updated
January 20, 2012

The Cooley Jackson Foundation is a healthcare organization based in Camden, NJ. The Cooley Jackson Foundation practices in Camden, NJ. The NPI Number for The Cooley Jackson Foundation is 1922379056. The current practice location address for The Cooley Jackson Foundation is 1081 Lakeshore Dr, Camden, NJ 08104-2627 and can be reached out via phone at 856-912-9404.

Provider Profile Details

NPI Number
1922379056
Provider Name
The Cooley Jackson Foundation
Provider Entity Type
Organization
Address
1081 Lakeshore Dr, Camden, NJ 08104-2627
Phone Number
856-912-9404
Organization Subpart
No
Authorized Official
Mr. Lamont Jackson, MBA · Ceo/President · 856-912-9404
Other Names
Project Growth (Other Name)
Provider Enumeration Date
January 20, 2012
Last Update Date
January 20, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1081 Lakeshore Dr
Camden, NJ 08104-2627
City
Camden
Zip
08104-2627
Phone Number
856-912-9404
Camden, NJ 08104Get directions →

Provider Business Mailing Address Details

Address
1081 Lakeshore Dr
Camden, NJ 08104-2627
City
Camden
State
NJ
Zip
08104-2627
Phone Number
856-912-9404

License Information

License State
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
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 The Cooley Jackson Foundation?

The NPI number of The Cooley Jackson Foundation is 1922379056. It was assigned on January 20, 2012 and is currently active in the NPPES registry.

What is the specialty of The Cooley Jackson Foundation?

The Cooley Jackson Foundation is registered under the primary taxonomy Residential Treatment Facility, Emotionally Disturbed Children (code 322D00000X).

Where does The Cooley Jackson Foundation practice?

The practice location is 1081 Lakeshore Dr, Camden, NJ 08104-2627. The office can be reached at 856-912-9404 (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 1922379056 directly on the NPPES registry website.

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