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My Father's House, Inc

My Father's House, Inc is a health care provider in Gloucester City, NJ. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location Po Box 230, Gloucester City, NJ 08030-0230, US
Practice Location Phone856-742-0900
Practice Location Fax856-742-0900
Legal Business NameMY FATHER'S HOUSE, INC
NPI ?1003327388
Entity TypeOrganization
Enumeration Date ? Oct 13, 2017
Last Update Date ? Oct 13, 2017
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of My Father's House, Inc

SpecialtySpecializationLicenseLicense State
CounselorAddiction (Substance Use Disorder)

legacy-id-icon Legacy Provider IDs of My Father's House, Inc

Provider IdIssuer StateIssuer TypeIssuer
7601905New JerseyMedicaid

official-icon Authorized Official of My Father's House, Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the My Father's House, Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Sean Broderick
Authorized Official Title/PositionCHIEF OPERATING OFFICER
Authorized Official Phone Number856-742-0900