Family Connections, Inc. | |
395 S Center St Orange NJ 07050-3205 | |
(973) 675-3817 | |
(973) 266-1041 |
Full Name | Family Connections, Inc. |
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Speciality | Community/Behavioral Health |
Location | 395 S Center St, Orange, New Jersey |
Authorized Official Name and Position | Jacques Hryshko (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9736753817 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Connections, Inc. 395 S Center St Orange NJ 07050-3205 Ph: (973) 675-3817 | Family Connections, Inc. 395 S Center St Orange NJ 07050-3205 Ph: (973) 675-3817 |
NPI Number | 1528118247 |
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Provider Enumeration Date | 01/12/2007 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 7517910011 |
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Medicare Enrollment ID | O20050224000523 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528118247 | NPI | - | NPPES |
0007706 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 950030204 (New Jersey) | Primary |
Provider Name | Edward Shalts |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1518035732 PECOS PAC ID: 1254389893 Enrollment ID: I20110104000722 |
Provider Name | Claire Marie Forte-mcrobbie |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902164361 PECOS PAC ID: 5991969099 Enrollment ID: I20120620000483 |
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