Organization
LATINO FAMILY CONNECTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA IVETTE RIVERA (CHIEF EXECUTIVE DIRECTOR)
(609) 412-3694
Entity
Organization
Contact information
Practice address
5300 BOARDWALK, UNIT 210, VENTNOR, NJ 08406-2416
(609) 412-3694
Mailing address
5300 BOARDWALK, UNIT 210, VENTNOR, NJ 08406-2416
(609) 412-3694
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
371C00111900
NJ
251S00000X
Community/Behavioral Health Agency
Primary
44SC05372100
NJ
251V00000X
Voluntary or Charitable Agency
PC002461
NJ
Other
Enumeration date
05/24/2016
Last updated
08/05/2024
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