Provider Demographics
NPI:1174185219
Name:TEMIX SOCIAL SERVICES
Entity Type:Organization
Organization Name:TEMIX SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:AWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-482-0140
Mailing Address - Street 1:179B COURT ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-3824
Mailing Address - Country:US
Mailing Address - Phone:631-482-0140
Mailing Address - Fax:
Practice Address - Street 1:179B COURT ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-3824
Practice Address - Country:US
Practice Address - Phone:631-482-0140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management