| Organization Name: | FAMILY HEALTH & WELLNESS OPPORTUNITY CENTER |
| NPI Number: | 1003109471 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESSE M. COOPER (CEO) |
| Mailing Address: | 336 Staunton Ct Williamstown |
| State: | NJ US |
| Postal Code: | 080948803 |
| Phone Number: | 8568585850 |
| Fax Number: | 8568585833 |
| NPI Enumeration Date: | 05/18/2011 |
| NPI Last Update Date: | 05/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | 2000505-11 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |