OrganizationActive
Kennedy Health System
NPI 1033438643 · Adolescent and Children Mental Health Clinic/Center · Sewell, NJ
Provider details
- NPI number
- 1033438643
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Russ Micoli, Corp. Director, Behavioral Health
Practice location
454 Hurffville Crosskeys Rd
Sewell, NJ 08080-2339
Phone: (856) 582-1419
Fax: (856) 582-7661
Mailing address
2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Registry dates
- Enumerated
- 2010-05-21
- Last updated
- 2010-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.