Healthcare Provider Details

I. General information

NPI: 1730431933
Provider Name (Legal Business Name): THE CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2012
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 ZABRISKIE ST
HACKENSACK NJ
07601-4923
US

IV. Provider business mailing address

333 7TH AVE FL 9
NEW YORK NY
10001-5827
US

V. Phone/Fax

Practice location:
  • Phone: 201-262-4021
  • Fax: 201-262-0260
Mailing address:
  • Phone: 212-629-7993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALICIA MCGRATH
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 212-629-7939