Provider Demographics
NPI:1811498702
Name:JEWISH FAMILY SERVICE & CHILDRENS CENTER OF CLIFTON-PASSAIC, INC
Entity type:Organization
Organization Name:JEWISH FAMILY SERVICE & CHILDRENS CENTER OF CLIFTON-PASSAIC, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:REIKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-777-7638
Mailing Address - Street 1:925 ALLWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1941
Mailing Address - Country:US
Mailing Address - Phone:973-777-7638
Mailing Address - Fax:973-777-9311
Practice Address - Street 1:925 ALLWOOD RD
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012-1941
Practice Address - Country:US
Practice Address - Phone:973-777-7638
Practice Address - Fax:973-777-9311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty