Provider Demographics
NPI:1518746635
Name:CAMP SOBE WELL NJCH
Entity Type:Organization
Organization Name:CAMP SOBE WELL NJCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRECE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRISBEE
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:786-303-6862
Mailing Address - Street 1:11150 OKEECHOBEE BLVD # P104
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1352
Mailing Address - Country:US
Mailing Address - Phone:561-693-1305
Mailing Address - Fax:
Practice Address - Street 1:800 KINGS HWY N
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1511
Practice Address - Country:US
Practice Address - Phone:561-693-1305
Practice Address - Fax:561-584-7031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty