Center for Family Support, New Jersey, Inc.
NPI #1467986414 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1467986414
- Entity Type
- Organization
- Organization Name
- Center for Family Support, New Jersey, Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Apr 17, 2017
- Last Updated
- Apr 17, 2017
Practice Location
- Address
- 694 E PASSAIC AVE
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003-4429
- Phone
- (973) 771-9391
Authorized Official
- Name
- MICHAEL MAZZOCCO
- Title
- ASSISTANT EXECUTIVE DIRECTOR
- Phone
- (212) 629-7939
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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