Organization Name: | FAMILY INTERVENTION SERVICES INC |
NPI Number: | 1013120328 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEANNE M WARNOCK (CEO) |
Mailing Address: | 106 Valley St South Orange |
State: | NJ US |
Postal Code: | 070792886 |
Phone Number: | 9732751570 |
Fax Number: | 9732751568 |
NPI Enumeration Date: | 05/07/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |