| Family Care Behiorival Health Center Inc. | |
|
220 S Harrison St Ste B East Orange NJ 07018-1401 | |
| (973) 677-7053 | |
| (973) 677-7050 |
| Full Name | Family Care Behiorival Health Center Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 220 S Harrison St Ste B, East Orange, New Jersey |
| Authorized Official Name and Position | Thomas Johnson (PRESIDENT/ CEO) |
| Authorized Official Contact | 9736777053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Behiorival Health Center Inc. 220 S Harrison St Ste B East Orange NJ 07018-1401 Ph: (973) 677-7053 | Family Care Behiorival Health Center Inc. 220 S Harrison St Ste B East Orange NJ 07018-1401 Ph: (973) 677-7053 |
| NPI Number | 1356446025 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356446025 | NPI | - | NPPES |
| 0062359 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (New Jersey) | Primary |
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