Healthcare Provider Details

I. General information

NPI: 1669376539
Provider Name (Legal Business Name): FRIENDSHIP CIRCLE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 US HIGHWAY 9 STE 300
MANALAPAN NJ
07726-3072
US

IV. Provider business mailing address

200 US HIGHWAY 9 STE 300
MANALAPAN NJ
07726-3072
US

V. Phone/Fax

Practice location:
  • Phone: 732-536-2319
  • Fax:
Mailing address:
  • Phone: 732-536-2319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code385HR2050X
TaxonomyRespite Care Camp
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHANALE WOLOSOW
Title or Position: DIRECTOR
Credential:
Phone: 732-536-2319