Center For Family Guidance, PC
in Marlton, NJ. Organization (NPI-2).
NPI number1508803388
StatusActive
Last updated in NPPESApr 17, 2025
Details
- NPI
- 1508803388
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Family Guidance, PC
- Organization subpart
- No
- Enumeration date
- Jun 1, 2006
- Certification date
- Apr 17, 2025
- Last updated
- Apr 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0805X | – | – | Yes | |
| 103T00000X | Psychologist | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | |
| 364SP0807X | Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent | – | – | |
| 364SP0808X | Clinical Nurse Specialist, Psych/Mental Health | – | – | |
| 364SP0809X | Clinical Nurse Specialist, Psych/Mental Health, Adult | – | – |
Practice location
765 East Route 70Building A
Marlton, NJ 08053
Phone 856-983-3900
Mailing address
765 East Route 70Building A
Marlton, NJ 08053
Phone 856-983-3900
Authorized official
Ron Defeo
Ceo
8567974827
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