Provider Demographics
NPI:1992557946
Name:FRIENDLY CONNECTIONS INC.
Entity type:Organization
Organization Name:FRIENDLY CONNECTIONS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KAISERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-497-7641
Mailing Address - Street 1:10 CRAWFORDS CORNER RD UNIT 785
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-8033
Mailing Address - Country:US
Mailing Address - Phone:732-497-7641
Mailing Address - Fax:
Practice Address - Street 1:171 MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3177
Practice Address - Country:US
Practice Address - Phone:732-497-7641
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRIENDLY CONNECTIONS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-03
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health