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Organization

FAMILY CARE BEHIORIVAL HEALTH CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS JOHNSON SR. LPC, LCADC (PRESIDENT/ CEO)
(973) 677-7053
Entity
Organization

Contact information

Practice address
220 S HARRISON ST STE B, EAST ORANGE, NJ 07018-1401
(973) 677-7053
(973) 677-7050
Mailing address
220 S HARRISON ST STE B, EAST ORANGE, NJ 07018-1401
(973) 677-7053
(973) 677-7050

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0062359
NJ
Enumeration date
09/14/2006
Last updated
07/21/2022
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