Provider Demographics
NPI:1366278087
Name:FAMILY HEALING CENTER LLC1
Entity type:Organization
Organization Name:FAMILY HEALING CENTER LLC1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEIDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-251-2874
Mailing Address - Street 1:349 EAST NORTHFIELD ROAD
Mailing Address - Street 2:SUITE LL5
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039
Mailing Address - Country:US
Mailing Address - Phone:973-251-2874
Mailing Address - Fax:973-251-2878
Practice Address - Street 1:349 EAST NORTHFIELD ROAD
Practice Address - Street 2:SUITE LL5
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039
Practice Address - Country:US
Practice Address - Phone:973-251-2874
Practice Address - Fax:973-251-2878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty