Organization Name: | JEWISH FAMILY SERVICE OF ATLANTIC COUNTY |
NPI Number: | 1275959587 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA FLASH (BILLING COORDINATOR) |
Mailing Address: | 607 N Jerome Ave Margate City |
State: | NJ US |
Postal Code: | 084021527 |
Phone Number: | 6098221108 |
Fax Number: | |
NPI Enumeration Date: | 03/11/2014 |
NPI Last Update Date: | 03/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 37PC00435900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |