Organization · Type 2 NPI

Prodigal Sons and Daughters Behavioral Healthcare Services

Community/Behavioral Health Agency · East Orange, NJ

NPI number 1760901623 Active

Practice location

60 Evergreen Pl Ste 904
East Orange, NJ 07018-2114

Call (973) 678-3966 Map

Fax (973) 678-3968

Mailing address

PO Box 28109
Newark, NJ 07101-2486

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	100230104 (NJ)
Substance Abuse Rehabilitation Facility	324500000X	2000609 (NJ)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

3 other providers at this address

Other community/behavioral health agency providers in East Orange

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NPI record

NPI: 1760901623
Entity type: Organization (Type 2)
Issued: Sep 12, 2017
Last updated: Jun 16, 2018
Status: Active
Subpart: Yes of Prodigal Sons and Daughters Redirection Services

Other names

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Prodigal Sons and Daughters Behavioral Healthcare Services · doing business as
Prodigal Sons and Daughters Behaviroal Healthcare Services · other name

Authorized official

Mr. Henry Duane Muhammad-Hamilton, MS, LCADC, ICADC
Founder/ceo
(973) 678-3966

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760901623

Prodigal Sons and Daughters Behavioral Healthcare Services's National Provider Identifier is 1760901623, issued on Sep 12, 2017. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in East Orange, NJ. The record was last updated on Jun 16, 2018.