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NPI Code Detail

MEDICARE: FAMILY CONNECTIONS, INC.

MEDICARE: FAMILY CONNECTIONS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency950030204NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528118247
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY CONNECTIONS, INC.
Provider Business Mailing Address
First Line : 395 S CENTER ST
Second Line :
City : ORANGE
State : NJ
Zip : 07050-3205
Country : US
Telephone Number : 973-675-3817
Fax Number : 973-673-5782
Provider Business Practice Location Address
First Line : 395 S CENTER ST
Second Line :
City : ORANGE
State : NJ
Zip : 07050-3205
Country : US
Telephone Number : 973-675-3817
Fax Number : 973-266-1041
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. JACQUES HRYSHKO
Credential : LPC, ACS
Telephone Number : 973-675-3817
Provider Enumeration Date : 01/12/2007
Last Update Date : 07/21/2022

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