Center for Family Support, New Jersey, Inc.
NPI #1902330947 in Roselle, New Jersey
Provider Information
- NPI Number
- 1902330947
- 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
- 208 E 10TH AVE
- City
- Roselle
- State
- New Jersey
- ZIP Code
- 07203-2012
- Phone
- (908) 259-8950
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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