Provider Demographics
NPI:1417517186
Name:NJ FAMILY AND ADDICTION INSTITUTE
Entity Type:Organization
Organization Name:NJ FAMILY AND ADDICTION INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:GREENAGEL
Authorized Official - Suffix:II
Authorized Official - Credentials:MPAP, LCSW, LCADC
Authorized Official - Phone:908-268-6004
Mailing Address - Street 1:147 COLUMBIA TPKE STE 305
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-2145
Mailing Address - Country:US
Mailing Address - Phone:973-978-5502
Mailing Address - Fax:
Practice Address - Street 1:147 COLUMBIA TPKE STE 305
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-2145
Practice Address - Country:US
Practice Address - Phone:973-978-5502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-16
Last Update Date:2019-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty