Provider Demographics
NPI:1598883704
Name:CENTER FOR RELATIONAL COUNSELING
Entity Type:Organization
Organization Name:CENTER FOR RELATIONAL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:IGLE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:856-696-7356
Mailing Address - Street 1:PO BOX 665
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08362-0665
Mailing Address - Country:US
Mailing Address - Phone:856-696-7356
Mailing Address - Fax:856-293-5226
Practice Address - Street 1:727 E LANDIS AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-8005
Practice Address - Country:US
Practice Address - Phone:856-696-7356
Practice Address - Fax:856-293-5226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001864001041C0700X
NJ37FI00081500106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty