Shimara Watson
Shimara Watson is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mount Laurel, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.
- Licensed in
- NJ
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
76 Sisters Farmstead DrMount Laurel, NJ 08054-1448
Phone: (347) 458-5494
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X (NJ) |
|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X (NJ) |
Record details
| NPI number | 1104697440 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 15, 2024 |
| Last updated in NPPES | January 15, 2024 |
| Certification date | January 15, 2024 |
| Mailing address | 309 Fellowship Rd, East Gate Center, 200, Mount Laurel, NJ 08054-1448 |
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