Center For Family Support, New Jersey, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Cliffwood, NJ. Organization (NPI-2).
NPI number1801320429
StatusActive
Last updated in NPPESApr 20, 2017
Details
- NPI
- 1801320429
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Family Support, New Jersey, INC.
- Organization subpart
- No
- Enumeration date
- Apr 20, 2017
- Last updated
- Apr 20, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | GH862A | NJ | Yes |
Practice location
291 Nathan CtCliffwood, NJ 07721-1174
Phone 732-765-8036 · Fax 732-566-1702
Mailing address
333 7th Ave Fl 9New York, NY 10001-5827
Authorized official
Michael Mazzocco
Assistant Executive Director
2126297939
Is something wrong?
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