Provider Demographics
NPI:1689877979
Name:CHILD AND FAMILY COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:CHILD AND FAMILY COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROSENFELD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:732-572-5300
Mailing Address - Street 1:320 RARITAN AVE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-2752
Mailing Address - Country:US
Mailing Address - Phone:732-572-5300
Mailing Address - Fax:732-985-1973
Practice Address - Street 1:320 RARITAN AVE
Practice Address - Street 2:SUITE 308
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-2752
Practice Address - Country:US
Practice Address - Phone:732-572-5300
Practice Address - Fax:732-985-1973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty