Provider Demographics
NPI:1437477007
Name:THE PREVAILING FAMILY INC
Entity Type:Organization
Organization Name:THE PREVAILING FAMILY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:MASTERS IN HUMAN SER
Authorized Official - Phone:732-688-7953
Mailing Address - Street 1:104 NORWOOD ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07106-1912
Mailing Address - Country:US
Mailing Address - Phone:732-688-7953
Mailing Address - Fax:
Practice Address - Street 1:104 NORWOOD ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07106-1912
Practice Address - Country:US
Practice Address - Phone:732-688-7953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization