Provider Demographics
NPI:1376130120
Name:IT TAKES A FAMILY
Entity Type:Organization
Organization Name:IT TAKES A FAMILY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADEKEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADELAKUN-DUKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-314-8069
Mailing Address - Street 1:1200 LAUREL OAK RD STE 102
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4317
Mailing Address - Country:US
Mailing Address - Phone:856-314-8069
Mailing Address - Fax:856-389-5820
Practice Address - Street 1:519 LAKEHURST RD UNIT GH
Practice Address - Street 2:
Practice Address - City:BROWNS MILLS
Practice Address - State:NJ
Practice Address - Zip Code:08015-6000
Practice Address - Country:US
Practice Address - Phone:609-248-5161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health