Healthcare Provider Details

I. General information

NPI: 1073222097
Provider Name (Legal Business Name): CENTER FOR FAMILY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2022
Last Update Date: 11/17/2022
Certification Date: 11/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2205 PENNINGTON RD
EWING NJ
08638-1212
US

IV. Provider business mailing address

1 ALPHA AVE
VOORHEES NJ
08043-1049
US

V. Phone/Fax

Practice location:
  • Phone: 609-771-1600
  • Fax: 609-530-1648
Mailing address:
  • Phone: 856-651-7553
  • Fax: 856-295-7024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SUZANNE WHITE
Title or Position: ASSOCIATE VICE PRESIDENT
Credential:
Phone: 856-651-7553