Provider Demographics
NPI:1235556069
Name:ALL GOD'S CHILDREN, INC
Entity Type:Organization
Organization Name:ALL GOD'S CHILDREN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:GREEN FLUCUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-926-7394
Mailing Address - Street 1:311 SIMONS AVE
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1817
Mailing Address - Country:US
Mailing Address - Phone:201-926-7394
Mailing Address - Fax:
Practice Address - Street 1:311 SIMONS AVE
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1817
Practice Address - Country:US
Practice Address - Phone:201-926-7394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency