Organization
MY FATHER'S HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN BRODERICK (CHIEF OPERATING OFFICER)
(856) 742-0900
Entity
Organization
Contact information
Practice address
PO BOX 230, GLOUCESTER CITY, NJ 08030-0230
(856) 742-0900
(856) 742-0900
Mailing address
PO BOX 230, GLOUCESTER CITY, NJ 08030-0230
(856) 742-0900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7601905
—
NJ
Enumeration date
10/13/2017
Last updated
10/13/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us