Provider Demographics
NPI:1720215213
Name:FUTURE KNOWLEDGE CENTER FOR WOMEN
Entity Type:Organization
Organization Name:FUTURE KNOWLEDGE CENTER FOR WOMEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:LUISA
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:862-268-2417
Mailing Address - Street 1:238 UNION BLVD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-2609
Mailing Address - Country:US
Mailing Address - Phone:973-684-4700
Mailing Address - Fax:973-684-5353
Practice Address - Street 1:238 UNION BLVD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-2609
Practice Address - Country:US
Practice Address - Phone:973-684-4700
Practice Address - Fax:973-684-5353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-11
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00342400251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health