| Family Intervention Services Inc | |
|
106 Valley St South Orange NJ 07079-2886 | |
| (973) 275-1570 | |
| (973) 275-1568 |
| Full Name | Family Intervention Services Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 106 Valley St, South Orange, New Jersey |
| Authorized Official Name and Position | Jeanne M Warnock (CEO) |
| Authorized Official Contact | 9732751570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Intervention Services Inc 106 Valley St South Orange NJ 07079-2886 Ph: (973) 275-1570 | Family Intervention Services Inc 106 Valley St South Orange NJ 07079-2886 Ph: (973) 275-1570 |
| NPI Number | 1013120328 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013120328 | NPI | - | NPPES |
| 0034321 | Medicaid | NJ | |
| 0021164 | Medicaid | NJ | |
| 0081710 | Medicaid | NJ | |
| 0018210 | Medicaid | NJ | |
| 0018261 | Medicaid | NJ | |
| 0017809 | Medicaid | NJ | |
| 0017922 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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