| My Friends House Family Counseling Services | |
|
371 Glassboro Rd Woodbury Heights NJ 08097-1026 | |
| (856) 669-6900 | |
| (856) 384-0366 |
| Full Name | My Friends House Family Counseling Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 371 Glassboro Rd, Woodbury Heights, New Jersey |
| Authorized Official Name and Position | Michael Dulude (CFO) |
| Authorized Official Contact | 8566696900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Friends House Family Counseling Services 371 Glassboro Rd Woodbury Heights NJ 08097-1026 Ph: (856) 669-6900 | My Friends House Family Counseling Services 371 Glassboro Rd Woodbury Heights NJ 08097-1026 Ph: (856) 669-6900 |
| NPI Number | 1013053016 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 12/28/2016 |
| Medicare PECOS PAC ID | 8426339722 |
|---|---|
| Medicare Enrollment ID | O20161228001495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013053016 | NPI | - | NPPES |
| 0027219 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 23143 (New Jersey) | Secondary |
| 251S00000X | Community/behavioral Health | 2000403 (New Jersey) | Primary |
| Provider Name | Catherine E Sheridan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528179181 PECOS PAC ID: 6406893478 Enrollment ID: I20050412000019 |
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