Organization
FAMILY CONNECTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUES HRYSHKO LPC, ACS (EXECUTIVE DIRECTOR)
(973) 323-3439
Entity
Organization
Contact information
Practice address
395 S CENTER ST, ORANGE, NJ 07050-3205
(973) 675-3817
(973) 266-1041
Mailing address
7 GLENWOOD AVE STE 101, EAST ORANGE, NJ 07017-1041
(973) 675-3817
(973) 266-1041
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
950030204
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0397482
—
NJ
Enumeration date
09/15/2017
Last updated
03/17/2018
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