1821567348 NPI number — THE FAMILY RESOURCE NETWORK

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821567348 NPI number — THE FAMILY RESOURCE NETWORK

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE FAMILY RESOURCE NETWORK
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DCF WITH WORKER (DSP)
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821567348
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/06/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
50 MILLSTONE ROAD
Provider Second Line Business Mailing Address:
BUILDING 300, SUITE 270
Provider Business Mailing Address City Name:
E. WINDSOR
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08520
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-203-1883
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
50 MILLSTONE ROAD
Provider Second Line Business Practice Location Address:
BUILDING 300, SUITE 270
Provider Business Practice Location Address City Name:
E. WINDSOR
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08520
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-203-1883
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/14/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TRATHEN
Authorized Official First Name:
VERONICA
Authorized Official Middle Name:
L
Authorized Official Title or Position:
EXECUTIVE VP
Authorized Official Telephone Number:
609-392-4900

Provider Taxonomy Codes

  • Taxonomy code: 385HR2060X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)