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Organization
FAMILY SERVICE ASSOCIATION
Active
Organization
FAMILY SERVICE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIE ECHO MHA, LNHA (CHIEF OPERATING OFFICER)
(609) 569-0239
Entity
Organization
Contact information
Practice address
3073 ENGLISH CREEK AVE, STE 3, EGG HARBOR TWP, NJ 08234-9711
(609) 569-0239
(609) 569-1802
Mailing address
3073 ENGLISH CREEK AVE, STE 3, EGG HARBOR TWP, NJ 08234-9711
(609) 569-0239
(609) 569-1802
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
NJ
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006165
—
NJ
Enumeration date
04/16/2008
Last updated
06/11/2014
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