Provider Demographics
NPI:1770985996
Name:TWIN OAKS COMMUNITY SERVICES
Entity type:Organization
Organization Name:TWIN OAKS COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FLEX FACILITATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:VITULLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-290-6662
Mailing Address - Street 1:501 EVERGREEN BLVD
Mailing Address - Street 2:
Mailing Address - City:BROWNS MILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:08015-1734
Mailing Address - Country:US
Mailing Address - Phone:609-290-6662
Mailing Address - Fax:
Practice Address - Street 1:501 EVERGREEN BLVD
Practice Address - Street 2:
Practice Address - City:BROWNS MILLS
Practice Address - State:NJ
Practice Address - Zip Code:08015-1734
Practice Address - Country:US
Practice Address - Phone:609-290-6662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management