Organization · NPI-2

Boys Of Sustainable Strength Mentoring, INC.

Community/Behavioral Health · Camden, NJ

NPI number1255921698
StatusActive
Last updated in NPPESJan 20, 2021

Details

NPI
1255921698
Entity type
Organization (NPI-2)
Legal business name
Boys Of Sustainable Strength Mentoring, INC.
Organization subpart
No
Enumeration date
Jan 20, 2021
Certification date
Jan 20, 2021
Last updated
Jan 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
251300000X Local Education Agency (LEA)––
251B00000X Case Management––
251V00000X Voluntary or Charitable––

Practice location

1030 S 5th St
Camden, NJ 08103-2038

Phone 856-295-2584

Mailing address

1440 Haddon Ave
Camden, NJ 08103-3111

Phone 609-707-4726

Authorized official

Yaniece Sharae Spencer
Ceo
6097074726

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