Provider Demographics
NPI:1356930267
Name:THE WHOLE FAMILY CENTER
Entity type:Organization
Organization Name:THE WHOLE FAMILY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STACIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDFLAM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:201-232-9828
Mailing Address - Street 1:101 PALISADE AVE
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-2529
Mailing Address - Country:US
Mailing Address - Phone:201-232-9632
Mailing Address - Fax:
Practice Address - Street 1:645 WESTWOOD AVE
Practice Address - Street 2:
Practice Address - City:RIVER VALE
Practice Address - State:NJ
Practice Address - Zip Code:07675-6295
Practice Address - Country:US
Practice Address - Phone:201-232-9632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE WHOLE FAMILY CENTER, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-14
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty