Provider Demographics
NPI:1437316429
Name:MARRIAGE & FAMILY COUNSELING CENTER
Entity Type:Organization
Organization Name:MARRIAGE & FAMILY COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:B
Authorized Official - Last Name:PERLSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:973-759-3388
Mailing Address - Street 1:387 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-2173
Mailing Address - Country:US
Mailing Address - Phone:973-759-3388
Mailing Address - Fax:973-759-2689
Practice Address - Street 1:387 UNION AVE
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-2173
Practice Address - Country:US
Practice Address - Phone:973-759-3388
Practice Address - Fax:973-759-2689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSC003681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty