| Organization Name: | FAMILY CARE CONNECTIONS, LLC |
| NPI Number: | 1780812446 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRUCE E. BETNER (PRESIDENT/CEO) |
| Mailing Address: | 402 Adams Ave Woodbine |
| State: | NJ US |
| Postal Code: | 08270 |
| Phone Number: | 8563402528 |
| Fax Number: | |
| NPI Enumeration Date: | 07/01/2009 |
| NPI Last Update Date: | 07/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 37F100162900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |