Provider Demographics
NPI:1932374139
Name:JORE VENTURES
Entity Type:Organization
Organization Name:JORE VENTURES
Other - Org Name:MOUNT PLEASANT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MALTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-483-1119
Mailing Address - Street 1:790 GARWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3817
Mailing Address - Country:US
Mailing Address - Phone:856-235-9494
Mailing Address - Fax:
Practice Address - Street 1:155-157 MOUNT PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07104-3963
Practice Address - Country:US
Practice Address - Phone:973-483-1119
Practice Address - Fax:973-483-7477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)