Provider Demographics
NPI:1295472124
Name:THE CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC.
Entity Type:Organization
Organization Name:THE CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SEMPLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-629-7939
Mailing Address - Street 1:71 ZABRISKIE ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-4923
Mailing Address - Country:US
Mailing Address - Phone:212-629-7939
Mailing Address - Fax:
Practice Address - Street 1:20 SNYDER AVE
Practice Address - Street 2:
Practice Address - City:SAYREVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08872-1218
Practice Address - Country:US
Practice Address - Phone:201-262-4021
Practice Address - Fax:201-262-4047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services