Provider Demographics
NPI:1720137342
Name:CHILD AND FAMILY SUPPORT SERVICES, INC.
Entity Type:Organization
Organization Name:CHILD AND FAMILY SUPPORT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MAGALY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEVS-HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:718-618-7535
Mailing Address - Street 1:402 E 154TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-1222
Mailing Address - Country:US
Mailing Address - Phone:718-618-7535
Mailing Address - Fax:718-618-7537
Practice Address - Street 1:402 E 154TH ST STE 1
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455
Practice Address - Country:US
Practice Address - Phone:718-618-7535
Practice Address - Fax:718-618-7537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02524927Medicaid