Organization
PRODIGAL SONS AND DAUGHTERS BEHAVIORAL HEALTHCARE SERVICES
Active
Organization
PRODIGAL SONS AND DAUGHTERS BEHAVIORAL HEALTHCARE SERVICES
Active
Parent organization
PRODIGAL SONS AND DAUGHTERS REDIRECTION SERVICES
Other names
Prodigal Sons And Daughters Behaviroal HealthCare Services, Prodigal Sons And Daughters Behavioral HealthCare Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRODIGAL SONS AND DAUGHTERS REDIRECTION SERVICES
Authorized official
MR. HENRY DUANE MUHAMMAD-HAMILTON SR. MS, LCADC, ICADC (FOUNDER/CEO)
(973) 678-3966
Entity
Organization
Contact information
Practice address
60 EVERGREEN PL STE 904, EAST ORANGE, NJ 07018-2114
(973) 678-3966
(973) 678-3968
Mailing address
PO BOX 28109, NEWARK, NJ 07101-2486
(973) 703-3262
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100230104
NJ
324500000X
Substance Abuse Rehabilitation Facility
2000609
NJ
Other
Enumeration date
09/12/2017
Last updated
06/16/2018
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