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Organization

FAMILY BASED STRATEGIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA VALDIVIA (REGIONAL DIRECTOR)
(862) 222-3679
Entity
Organization

Contact information

Practice address
115 NORTH AVE W # A, CRANFORD, NJ 07016-2167
(862) 222-3679
Mailing address
115 NORTH AVE W # A, CRANFORD, NJ 07016-2167
(862) 222-3679

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0067644
NJ
Enumeration date
02/02/2007
Last updated
08/22/2020
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