Provider Demographics
NPI:1336329648
Name:CGS FAMILY PARTNERSHIP INC.
Entity Type:Organization
Organization Name:CGS FAMILY PARTNERSHIP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:FARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-716-2100
Mailing Address - Street 1:445 WOODBURY GLASSBORO RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-4511
Mailing Address - Country:US
Mailing Address - Phone:856-716-2100
Mailing Address - Fax:856-716-2109
Practice Address - Street 1:445 WOODBURY GLASSBORO RD
Practice Address - Street 2:SUITE 1
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-4511
Practice Address - Country:US
Practice Address - Phone:856-716-2100
Practice Address - Fax:856-716-2109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ09-00026251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0136328Medicaid