Organization
SUPPORTIVE FAMILY SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUTECHE J AINE LSW (EXECUTIVE DIRECTOR)
(973) 207-1242
Entity
Organization
Contact information
Practice address
152 NESBIT TER, IRVINGTON, NJ 07111-2203
(973) 207-1242
(973) 372-7005
Mailing address
152 NESBIT TER, IRVINGTON, NJ 07111-2203
(973) 207-1242
(973) 372-7005
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0162485
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162485
—
NJ
Enumeration date
09/17/2008
Last updated
09/17/2008
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