Provider Demographics
NPI:1356704837
Name:FRIENDS OF CYRUS
Entity type:Organization
Organization Name:FRIENDS OF CYRUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGHANI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:201-213-1935
Mailing Address - Street 1:PO BOX 108
Mailing Address - Street 2:
Mailing Address - City:SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-0108
Mailing Address - Country:US
Mailing Address - Phone:201-213-1935
Mailing Address - Fax:888-212-4212
Practice Address - Street 1:8 TIDEWATER LN
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-3818
Practice Address - Country:US
Practice Address - Phone:201-213-1935
Practice Address - Fax:888-212-4212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities