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Organization

HISPANIC FAMILY CENTER OF SOUTHERN NJ INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELSA CANDELARIO MSW, LCSW (EXECUTIVE DIRECTOR)
(856) 541-6985
Entity
Organization

Contact information

Practice address
2700 WESTFIELD AVE, CAMDEN, NJ 08105-2427
(856) 365-7393
(856) 365-1862
Mailing address
35 S 29TH ST, CAMDEN, NJ 08105-2210
(856) 541-6985
(856) 963-2663

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
40305-01-04
NJ
251S00000X
Community/Behavioral Health Agency
40305-01-05
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5353203
NJ
Enumeration date
12/03/2010
Last updated
04/07/2017
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