CHARLES BARRYMORE GREENE

CAMDEN, NJ
NPI1124297130
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ  37LC00141700)
Enumeration Date2008-02-22
Last Update Date2008-02-22
Business Address
Mr. CHARLES BARRYMORE GREENE LCADC
413 S BROADWAY
CAMDEN, NJ 08103-1211
Phone number: 856-757-9190
Mailing Address
Mr. CHARLES BARRYMORE GREENE LCADC
106 COUNTRY LN
SICKLERVILLE, NJ 08081-9312
Phone number: 856-701-4731
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