Provider Demographics
NPI:1548745896
Name:THE FAMILY RESOURCE NETWORK
Entity Type:Organization
Organization Name:THE FAMILY RESOURCE NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VP
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:TRATHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-392-4900
Mailing Address - Street 1:50 MILLSTONE ROAD
Mailing Address - Street 2:BUILDING 300, SUITE 270
Mailing Address - City:E. WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-1811
Mailing Address - Country:US
Mailing Address - Phone:609-392-4900
Mailing Address - Fax:609-392-5621
Practice Address - Street 1:50 MILLSTONE ROAD
Practice Address - Street 2:BUILDING 300, SUITE 270
Practice Address - City:E. WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-1811
Practice Address - Country:US
Practice Address - Phone:609-392-4900
Practice Address - Fax:609-392-5621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0467626Medicaid