Provider Demographics
NPI:1447436985
Name:F.A.C.E.S.
Entity type:Organization
Organization Name:F.A.C.E.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:856-779-0550
Mailing Address - Street 1:926 HADDONFIELD RD
Mailing Address - Street 2:358
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-2775
Mailing Address - Country:US
Mailing Address - Phone:856-779-0550
Mailing Address - Fax:856-779-1290
Practice Address - Street 1:926 HADDONFIELD RD
Practice Address - Street 2:358
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2775
Practice Address - Country:US
Practice Address - Phone:856-779-0550
Practice Address - Fax:856-779-1290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0103195251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health