Friends for Life Int'L, Inc.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

MD059271-L Issued in PA

Legal business name

FRIENDS FOR LIFE INT'L, INC.

Practice address

890 Poplar Church Rd
Suite 410
Camp Hill, PA 17011-2250

Phone

(717) 303-0505

Fax

(717) 303-0507

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Janiece Christine Andrews, M.D.

Title

Secretary

Phone

(717) 303-0505

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1639115223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 POPLAR CHURCH RD",
            "address_2": "SUITE 410",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112250",
            "telephone_number": "717-303-0505",
            "fax_number": "717-303-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 POPLAR CHURCH RD",
            "address_2": "SUITE 410",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112250",
            "telephone_number": "717-303-0505",
            "fax_number": "717-303-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS FOR LIFE INT'L, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "JANIECE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "717-303-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "PA",
            "license": "MD059271-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in Camp Hill, PA
• Providers in Camp Hill, PA by specialty
• Adolescent and Children Mental Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.