FAMILY CARE CONNECTIONS LLC NPI 1811416688

NPI Information

NPI: 1811416688
Provider Name: FAMILY CARE CONNECTIONS, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
44 COOPER ST STE 6
WOODBURY, NJ
ZIP 08096
Phone: (856) 579-7303
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FAMILY CARE CONNECTIONS, LLC is a mental health (including community mental health center) clinic center in Woodbury, NJ. FAMILY CARE CONNECTIONS, LLC NPI is 1811416688. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

44 COOPER ST STE 6
WOODBURY, NJ
ZIP 08096-653
Phone: (856) 579-7303
Fax: (856) 579-7298

The provider's authorized official is Bruce Elliott Betner .
The authorized official title is Ceo and has the following contact phone number (856) 579-7303.

The enumeration date for this NPI number is 9/13/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	101979	NEW JERSEY	No
2	251S00000X	Community/Behavioral Health		101979	NEW JERSEY	No
3	324500000X	Substance Abuse Rehabilitation Facility		101979	NEW JERSEY	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	101979	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0474771	MEDICAID	NEW JERSEY
2	0493198	MEDICAID	NEW JERSEY
3	0442283	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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