Healthcare Provider Details

I. General information

NPI: 1093994071
Provider Name (Legal Business Name): CATHOLIC FAMILY & COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2007
Last Update Date: 10/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

163 ROSA PARKS BLVD
PATERSON NJ
07501
US

IV. Provider business mailing address

163 ROSA PARKS BLVD
PATERSON NJ
07501
US

V. Phone/Fax

Practice location:
  • Phone: 973-345-5853
  • Fax: 973-345-1649
Mailing address:
  • Phone: 973-345-5853
  • Fax: 973-345-1649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH F DUFFY
Title or Position: EXECUTIVE DIRECTOR OF CATHOLIC FAMI
Credential: MAT MA MPA MNM
Phone: 973-279-7100