institution
Center For Family Support, New Jersey, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Nutley, New Jersey
NPI 1154855195

Center For Family Support, New Jersey, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in New York, NJ. Center For Family Support, New Jersey, Inc. practices in Nutley, NJ. The NPI Number for Center For Family Support, New Jersey, Inc. is 1154855195 and holds a License No. GH1135 (New Jersey).

The current practice location address for Center For Family Support, New Jersey, Inc. is 409 Chestnut St, Nutley, NJ and can be reached out via phone at 973-661-4805 and via fax at 973-661-2402.

Location: 409 Chestnut St, Nutley, NJ, 10001-5827
institution
Provider Profile Details
NPI Number
1154855195
Provider Name
Center For Family Support, New Jersey, Inc.
Credential
Provider Entity Type
Organization
Address
409 Chestnut St, Nutley, NJ, 10001-5827
Phone Number
973-661-4805
Fax Number
973-661-2402
Provider Enumeration Date
04/17/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0471224 05 NJ
institution
Provider Business Practice Location Address Details
Address
409 Chestnut St
City
State
Zip
07110-2258
Phone Number
973-661-4805
Fax Number
973-661-2402
person
Provider Business Mailing Address Details
Address
409 Chestnut St
City
State
Zip
07110-2258
Phone Number
973-661-4805
Fax Number
973-661-2402
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
GH1135 (New Jersey)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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