Prodigal Sons and Daughters Behavioral Healthcare Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

100230104 Issued in NJ

Legal business name

PRODIGAL SONS AND DAUGHTERS BEHAVIORAL HEALTHCARE SERVICES

Practice address

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

Phone

(973) 678-3966

Fax

(973) 678-3968

NPI assigned

Sep 12, 2017

Organization subpart

Yes

Parent organization

PRODIGAL SONS AND DAUGHTERS REDIRECTION SERVICESAs reported in NPPES

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

Authorized official

Name

Mr. Henry Duane Muhammad-Hamilton Sr., MS, LCADC, ICADC

Title

Founder/Ceo

Phone

(973) 678-3966

Specialties & licenses 2

Addresses

Other names 2

• Prodigal Sons And Daughters Behavioral HealthCare Services Doing business as
• Prodigal Sons And Daughters Behaviroal HealthCare Services Other name

Part of

Prodigal Sons and Daughters Behavioral Healthcare Services

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1760901623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28109",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071012486",
            "telephone_number": "973-703-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EVERGREEN PL STE 904",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182114",
            "telephone_number": "973-678-3966",
            "fax_number": "973-678-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIGAL SONS AND DAUGHTERS BEHAVIORAL HEALTHCARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRODIGAL SONS AND DAUGHTERS REDIRECTION SERVICES",
        "enumeration_date": "2017-09-12",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD-HAMILTON",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "973-678-3966",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MS, LCADC, ICADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "100230104",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "2000609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prodigal Sons And Daughters Behavioral HealthCare Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prodigal Sons And Daughters Behaviroal HealthCare Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.