Provider Demographics
NPI:1043717150
Name:CAMDEN COUNTY CORRECTIONS
Entity type:Organization
Organization Name:CAMDEN COUNTY CORRECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORRECTIONS/RENTRY SPECIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:D
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-828-8111
Mailing Address - Street 1:330 FEDERAL ST
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1121
Mailing Address - Country:US
Mailing Address - Phone:856-580-5733
Mailing Address - Fax:856-964-3207
Practice Address - Street 1:330 FEDERAL ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1121
Practice Address - Country:US
Practice Address - Phone:856-580-5733
Practice Address - Fax:856-964-3207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-06
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251B00000X, 261QP2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ=========OtherRE ENTRY AND SPECIAL SERVICES
NJ=========OtherCORRECTONS RE/ENTRY SPECIAL SERVICES