Provider Demographics
NPI:1346388345
Name:FAMILY & CHILDREN'S SERVICE INC.
Entity Type:Organization
Organization Name:FAMILY & CHILDREN'S SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:TARABOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-222-9111
Mailing Address - Street 1:191 BATH AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-6134
Mailing Address - Country:US
Mailing Address - Phone:732-222-9111
Mailing Address - Fax:732-531-8507
Practice Address - Street 1:191 BATH AVE
Practice Address - Street 2:
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-6134
Practice Address - Country:US
Practice Address - Phone:732-222-9111
Practice Address - Fax:732-531-8507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0108000251E00000X
NJ251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0060054Medicaid
NJ0068608Medicaid