Provider Demographics
NPI:1285096263
Name:CHILDREN'S AID AND FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:CHILDREN'S AID AND FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER & CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:MANDRY
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:201-261-2800
Mailing Address - Street 1:200 ROBIN RD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1414
Mailing Address - Country:US
Mailing Address - Phone:201-261-2800
Mailing Address - Fax:201-634-3672
Practice Address - Street 1:22-08 ROUTE 208
Practice Address - Street 2:SUITE 7
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-2609
Practice Address - Country:US
Practice Address - Phone:201-261-2800
Practice Address - Fax:201-791-0147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-28
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ101350104251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0376892Medicaid
NJ5205905Medicaid
NJ8847304Medicaid
NJ0439541Medicaid
NJ0164241Medicaid
NJ0490512Medicaid
NJ0364240Medicaid
NJ0376477Medicaid
NJ0376868Medicaid
NJ0138215Medicaid
NJ0184713Medicaid
NJ0366714Medicaid