Healthcare Provider Details

I. General information

NPI: 1003521717
Provider Name (Legal Business Name): CENTER FOR FAMILY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2023
Last Update Date: 01/17/2023
Certification Date: 01/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 MEMORIAL PKWY
PHILLIPSBURG NJ
08865-1580
US

IV. Provider business mailing address

1 ALPHA AVE
VOORHEES NJ
08043-1049
US

V. Phone/Fax

Practice location:
  • Phone: 908-454-4470
  • Fax:
Mailing address:
  • Phone: 856-651-7553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

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