Healthcare Provider Details
I. General information
NPI: 1952881450
Provider Name (Legal Business Name): CENTER FOR FAMILY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/15/2018
Last Update Date: 01/03/2023
Certification Date: 01/03/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
312 EAST WHITE HORSE PIKE
ABSECON NJ
08205
US
IV. Provider business mailing address
584 BENSON ST
CAMDEN NJ
08103-1324
US
V. Phone/Fax
- Phone: 609-652-1600
- Fax:
- Phone: 856-964-1990
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CINDY
HERDMAN
IVINS
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential: MA
Phone: 856-651-7553