Center For Family Support, New Jersey, Inc.
LBN: Center For Family Support, New Jersey, Inc.
Center For Family Support, New Jersey, Inc. is an health care organization with primary practice located at 409 Chestnut St , Nutley NJ 07110-2258. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Center For Family Support, New Jersey, Inc. can be contacted via phone (973) 661-4805, or through Mazzocco, Michael via phone (212) 629-7939.
Contact Information
Primary practice address
409 Chestnut St
Nutley NJ 07110-2258
Phone: (973) 661-4805
Fax: (973) 661-2402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | GH1135 | New Jersey |
Profile Details
| NPI number | 1154855195 |
|---|---|
| LBN Legal business name | Center For Family Support, New Jersey, Inc. |
| DBA Doing business as | |
| Authorized official | Mazzocco, Michael |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 17th, 2017 |
| Last updated | Apr 17th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154855195 | NPPES |
| New Jersey | MEDICAID | 0471224 |
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