FAMILY SERVICE ASSOCIATION NPI 1912958513

NPI Information

NPI: 1912958513
Provider Name: FAMILY SERVICE ASSOCIATION
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
312 E WHITE HORSE PIKE
GALLOWAY, NJ
ZIP 08205
Phone: (609) 652-1600
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FAMILY SERVICE ASSOCIATION is a mental health (including community mental health center) clinic center in Galloway, NJ. FAMILY SERVICE ASSOCIATION NPI is 1912958513. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

312 E WHITE HORSE PIKE
GALLOWAY, NJ
ZIP 08205-565
Phone: (609) 652-1600
Fax: (609) 652-2226

The provider's authorized official is Jennie Echo .
The authorized official title is Vp Of Clinical Services and has the following contact phone number (609) 569-0239.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 2/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	N/A	NEW JERSEY	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
3	261QM0850X	Clinic/Center	Adult Mental Health			No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	527355	MEDICARE PIN	NEW JERSEY
2	0024201	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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