| Connect Family Center Inc | |
|
4202 Route 130 Suite # 6 Willingboro NJ 08046-2509 | |
| (609) 871-4442 | |
| (609) 871-2487 |
| Full Name | Connect Family Center Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4202 Route 130, Willingboro, New Jersey |
| Authorized Official Name and Position | Mary Theresa Thompson (EXECUTIVE DIRECTOR FAMILY THERAPIST) |
| Authorized Official Contact | 6095043694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connect Family Center Inc 4202 Route 130 Suite # 6 Willingboro NJ 08046-2509 Ph: (609) 871-4442 | Connect Family Center Inc 4202 Route 130 Suite # 6 Willingboro NJ 08046-2509 Ph: (609) 871-4442 |
| NPI Number | 1093933343 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093933343 | NPI | - | NPPES |
| 0016721 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC01347500 (New Jersey) | Primary |
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