Provider Demographics
NPI:1063665081
Name:COMMUNITY TREATMENT OPTIONS
Entity Type:Organization
Organization Name:COMMUNITY TREATMENT OPTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:856-983-5551
Mailing Address - Street 1:401 ROUTE 73 N
Mailing Address - Street 2:BUILDING 10, SUITE 110
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3425
Mailing Address - Country:US
Mailing Address - Phone:856-983-5551
Mailing Address - Fax:856-983-1511
Practice Address - Street 1:401 ROUTE 73 N
Practice Address - Street 2:BUILDING 10, SUITE 110
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3425
Practice Address - Country:US
Practice Address - Phone:856-983-5551
Practice Address - Fax:856-983-1511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB507652084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty