Prodigal Sons And Daughters Behavioral Healthcare Services
Community/Behavioral Health in East Orange, New Jersey
1760901623- Practice location
- 60 Evergreen Pl Ste 904, East Orange, NJ 07018-2114
- Phone
- 973-678-3966
- Fax
- 973-678-3968
- Last updated
- June 16, 2018
Prodigal Sons And Daughters Behavioral Healthcare Services is a healthcare organization based in East Orange, NJ. Prodigal Sons And Daughters Behavioral Healthcare Services practices in East Orange, NJ. The NPI Number for Prodigal Sons And Daughters Behavioral Healthcare Services is 1760901623 and holds a License No. 2000609 (NJ). The current practice location address for Prodigal Sons And Daughters Behavioral Healthcare Services is 60 Evergreen Pl Ste 904, East Orange, NJ 07018-2114 and can be reached out via phone at 973-678-3966 and via fax at 973-678-3968.
Provider Profile Details
- NPI Number
- 1760901623
- Provider Name
- Prodigal Sons And Daughters Behavioral Healthcare Services
- Provider Entity Type
- Organization
- Address
- 60 Evergreen Pl Ste 904, East Orange, NJ 07018-2114
- Phone Number
- 973-678-3966
- Fax Number
- 973-678-3968
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- Yes
- Parent Organization
- Prodigal Sons And Daughters Redirection Services
- Authorized Official
- Mr. Henry Duane Muhammad-Hamilton, MS, LCADC, ICADC · Founder/Ceo · 973-678-3966
- Other Names
- Prodigal Sons And Daughters Behaviroal Healthcare Services (Other Name)
Prodigal Sons And Daughters Behavioral Healthcare Services (Doing Business As) - Provider Enumeration Date
- September 12, 2017
- Last Update Date
- June 16, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 60 Evergreen Pl Ste 904
East Orange, NJ 07018-2114 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-2114
- Phone Number
- 973-678-3966
- Fax Number
- 973-678-3968
Provider Business Mailing Address Details
- Address
- Po Box 28109
Newark, NJ 07101-2486 - City
- Newark
- State
- NJ
- Zip
- 07101-2486
- Phone Number
- 973-703-3262
License Information
- License Number (1)
- 2000609
- License State (1)
- NJ
- Taxonomy (1)
- Substance Abuse Rehabilitation Facility · 324500000X
- License Number (2)
- 100230104
- License State (2)
- NJ
- Taxonomy (2)
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Prodigal Sons And Daughters Behavioral Healthcare Services?
The NPI number of Prodigal Sons And Daughters Behavioral Healthcare Services is 1760901623. It was assigned on September 12, 2017 and is currently active in the NPPES registry.
What is the specialty of Prodigal Sons And Daughters Behavioral Healthcare Services?
Prodigal Sons And Daughters Behavioral Healthcare Services is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in NJ under license number 2000609.
Where does Prodigal Sons And Daughters Behavioral Healthcare Services practice?
The practice location is 60 Evergreen Pl Ste 904, East Orange, NJ 07018-2114. The office can be reached at 973-678-3966 (phone) or 973-678-3968 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760901623 directly on the NPPES registry website.