Organization
FAMILY INTERVENTION SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAKRAM MESEHA (ACCOUNTANT)
(973) 324-7879
Entity
Organization
Contact information
Practice address
376 LAFAYETTE RD, SPARTA, NJ 07871-3560
(973) 940-0105
Mailing address
86 S HARRISON ST, EAST ORANGE, NJ 07018-1748
(973) 324-7887
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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