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NPI Code Detail

MEDICARE: FAMILY SERVICE ASSOCIATION

MEDICARE: FAMILY SERVICE ASSOCIATION
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
1261QM0850XAdult Mental Health Clinic/CenterNJ
2261QM0855XAdolescent and Children Mental Health Clinic/CenterNJ
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

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 : 1891969283
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY SERVICE ASSOCIATION
Provider Business Mailing Address
First Line : 3073 ENGLISH CREEK AVE
Second Line : STE 3
City : EGG HARBOR TWP
State : NJ
Zip : 08234-9711
Country : US
Telephone Number : 609-569-0239
Fax Number : 609-569-1802
Provider Business Practice Location Address
First Line : 3073 ENGLISH CREEK AVE
Second Line : STE 3
City : EGG HARBOR TWP
State : NJ
Zip : 08234-9711
Country : US
Telephone Number : 609-569-0239
Fax Number : 609-569-1802
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : MS. JENNIE ECHO
Credential : MHA, LNHA
Telephone Number : 609-569-0239
Provider Enumeration Date : 04/16/2008
Last Update Date : 06/11/2014

Similar Medicare Providers

1346393691 — MR. JOSEPH CONTE L.C.S.W.
Practice Location Address:
3073 ENGLISH CREEK AVE
EGG HARBOR TWP, NJ
08234-9711
Practice Phone: 609-653-0100
Practice Fax: 609-653-0789
1932605334 — NICOLE A LYNCH LSW
Practice Location Address:
3073 ENGLISH CREEK AVE STE 3
EGG HARBOR TWP, NJ
08234-9711
Practice Phone: 609-569-0239
Practice Fax: 609-569-1942
1013060243 — MS. SALLIE P STROTBECK M.ED, L.P.C.
Practice Location Address:
3073 ENGLISH CREEK AVE
EGG HARBOR TOWNSHIP, NJ
08234-9711
Practice Phone: 609-569-0239
Practice Fax: 609-569-1942
1205386851 — KERRY SELLARS
Practice Location Address:
3073 ENGLISH CREEK AVE
EGG HARBOR TOWNSHIP, NJ
08234-9711
Practice Phone: 609-652-1600
Practice Fax: 609-652-2226
1902394026 — MS. KRISTINA A CASSARA MSW, LSW
Practice Location Address:
3073 ENGLISH CREEK AVE STE 3
EGG HARBOR TOWNSHIP, NJ
08234-9711
Practice Phone: 609-652-1600
Practice Fax:
1255811667 — CENTER FOR FAMILY SERVICES, INC.
Practice Location Address:
3073 ENGLISH CREEK AVE
EGG HARBOR TOWNSHIP, NJ
08234-9711
Practice Phone: 609-569-0239
Practice Fax:

Directions to “FAMILY SERVICE ASSOCIATION ” Practice Location

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