Organization
COORDINATED FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE SIVERIO LCSW, CDAC (EXECUTIVE DIRECTOR)
(732) 572-3663
Entity
Organization
Contact information
Practice address
100 METROPLEX DR, SUITE 301, EDISON, NJ 08817-2684
(732) 572-3663
(732) 572-6392
Mailing address
100 METROPLEX DR, SUITE 301, EDISON, NJ 08817-2684
(732) 572-3663
(732) 572-6392
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0100860122
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8458103
—
NJ
Enumeration date
01/17/2007
Last updated
08/22/2020
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