| Phoenix Family Services, Llc | |
|
210 Richards Ave Piscataway NJ 08854-2936 | |
| (732) 404-7064 | |
| (732) 424-6587 |
| Full Name | Phoenix Family Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 210 Richards Ave, Piscataway, New Jersey |
| Authorized Official Name and Position | Ravi Kadir Maharajh (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7324047604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Family Services, Llc 210 Richards Ave Piscataway NJ 08854-2936 Ph: (732) 404-7064 | Phoenix Family Services, Llc 210 Richards Ave Piscataway NJ 08854-2936 Ph: (732) 404-7064 |
| NPI Number | 1831350982 |
|---|---|
| Provider Enumeration Date | 06/21/2008 |
| Last Update Date | 06/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831350982 | NPI | - | NPPES |
| 0162027 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NJ37PC00336800 (New Jersey) | Primary |
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