My Father's House, INC
NPI #1700088226 in Gloucester City, New Jersey
Provider Information
- NPI Number
- 1700088226
- Entity Type
- Organization
- Organization Name
- My Father's House, INC
- Primary Specialty
- Clinic/Center - Rehabilitation
- Enumeration Date
- Jun 5, 2007
- Last Updated
- Aug 1, 2016
Practice Location
- Address
- 104 N KING ST
- City
- Gloucester City
- State
- New Jersey
- ZIP Code
- 08030-1417
- Phone
- (856) 742-0900
Authorized Official
- Name
- MS. MIRIAM BRODERICK, LCADC, CCS
- Title
- CEO
- Phone
- (856) 742-0900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation — Rehabilitation |
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