Provider Demographics
NPI:1588127443
Name:THE WORK GROUP
Entity type:Organization
Organization Name:THE WORK GROUP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-486-7390
Mailing Address - Street 1:3720 MARLTON PIKE
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08110-6311
Mailing Address - Country:US
Mailing Address - Phone:856-486-7390
Mailing Address - Fax:
Practice Address - Street 1:3720-3708 MARLTON PIKE
Practice Address - Street 2:
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08110-6311
Practice Address - Country:US
Practice Address - Phone:856-486-7390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-08
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty