Provider Demographics
NPI:1245646132
Name:THE FAMILY CENTER
Entity type:Organization
Organization Name:THE FAMILY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:H
Authorized Official - Last Name:MIERZEJWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:862-596-5317
Mailing Address - Street 1:155 POMPTON AVE
Mailing Address - Street 2:SUITE106
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-2942
Mailing Address - Country:US
Mailing Address - Phone:973-857-5333
Mailing Address - Fax:
Practice Address - Street 1:155 POMPTON AVE
Practice Address - Street 2:SUITE106
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044-2942
Practice Address - Country:US
Practice Address - Phone:973-857-5333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA094029002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty