Provider Demographics
NPI:1144619446
Name:CHILDREN'S AID AND FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:CHILDREN'S AID AND FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER & CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:MANDRY
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:201-740-7050
Mailing Address - Street 1:200 ROBIN RD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1414
Mailing Address - Country:US
Mailing Address - Phone:201-261-2800
Mailing Address - Fax:201-634-3672
Practice Address - Street 1:346 DUVIER PL
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07607-1111
Practice Address - Country:US
Practice Address - Phone:201-843-1568
Practice Address - Fax:201-843-1572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-10
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0376868Medicaid