Provider Demographics
NPI:1215147251
Name:CATHOLIC FAMILY AND COMMUNITY SERVICES, INC
Entity type:Organization
Organization Name:CATHOLIC FAMILY AND COMMUNITY SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:DUFFY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:973-279-7100
Mailing Address - Street 1:24 DEGRASSE ST
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07505-2001
Mailing Address - Country:US
Mailing Address - Phone:973-279-7100
Mailing Address - Fax:973-523-1150
Practice Address - Street 1:279 CARROLL ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07501-2248
Practice Address - Country:US
Practice Address - Phone:973-523-6778
Practice Address - Fax:973-523-7715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7307705Medicaid