Provider Demographics
NPI:1619230851
Name:CHILDREN'S AID AND FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:CHILDREN'S AID AND FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JERROLD
Authorized Official - Middle Name:B
Authorized Official - Last Name:BINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-261-2800
Mailing Address - Street 1:200 ROBIN RD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1414
Mailing Address - Country:US
Mailing Address - Phone:201-261-2800
Mailing Address - Fax:201-634-3672
Practice Address - Street 1:22-08 ROUTE 208
Practice Address - Street 2:PROF PARENT TREATMENT HOME, SUITE 7
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-2609
Practice Address - Country:US
Practice Address - Phone:201-226-0300
Practice Address - Fax:201-791-0147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-22
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0138215Medicaid