Organization Name: | CONNECT FAMILY CENTER INC |
NPI Number: | 1093933343 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY THERESA THOMPSON (EXECUTIVE DIRECTOR FAMILY THERAPIST) |
Mailing Address: | 4202 Route 130 Suite # 6 Willingboro |
State: | NJ US |
Postal Code: | 080462509 |
Phone Number: | 6098714442 |
Fax Number: | 6098712487 |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC01347500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |