Organization Active NPI

Partnership for Successful Living Inc

  • Community/Behavioral Health Agency
  • Voorhees, NJ
National Provider Identifier
1033413711
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC05222600 Issued in NJ
Legal business name
PARTNERSHIP FOR SUCCESSFUL LIVING INC
Practice address
221 Laurel Rd
Suite 300
Voorhees, NJ 08043-2330
Phone
(856) 482-6222
Fax
(856) 482-8568
NPI assigned
Jan 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Charles Brown, LCSW
Title
C.E.O.
Phone
(856) 482-6222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 44SC05222600 NJ Primary

Addresses

Primary practice location

221 Laurel Rd
Suite 300
Voorhees, NJ 08043-2330

Mailing address

221 Laurel Rd
Suite 300
Voorhees, NJ 08043-2330
Phone (856) 482-6222

National Provider Directory

National Provider Directory

Locations

221 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 482-6222

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1033413711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 LAUREL RD",
            "address_2": "SUITE 300",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432330",
            "telephone_number": "856-482-6222",
            "fax_number": "856-482-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 LAUREL RD",
            "address_2": "SUITE 300",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432330",
            "telephone_number": "856-482-6222",
            "fax_number": "856-482-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERSHIP FOR SUCCESSFUL LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "856-482-6222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05222600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.