Provider Demographics
NPI:1215579578
Name:CFY LLC
Entity Type:Organization
Organization Name:CFY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHANA
Authorized Official - Middle Name:F
Authorized Official - Last Name:YAROSLAWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LCSW BCBA
Authorized Official - Phone:732-534-2250
Mailing Address - Street 1:18 CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3512
Mailing Address - Country:US
Mailing Address - Phone:732-534-2250
Mailing Address - Fax:
Practice Address - Street 1:18 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3512
Practice Address - Country:US
Practice Address - Phone:732-534-2250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-08
Last Update Date:2023-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty