Provider Demographics
NPI:1891317327
Name:TOTAL CARE FAMILY SERVICES
Entity Type:Organization
Organization Name:TOTAL CARE FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:LEONETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:201-241-5600
Mailing Address - Street 1:269 SHAFER AVE
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-2416
Mailing Address - Country:US
Mailing Address - Phone:201-241-5600
Mailing Address - Fax:908-235-4443
Practice Address - Street 1:286 HALLADAY ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-3702
Practice Address - Country:US
Practice Address - Phone:201-241-5600
Practice Address - Fax:908-235-4443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)