MEDICARE: FRIENDS OF CYRUS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	251S00000X	Community/Behavioral Health Agency
4	252Y00000X	Early Intervention Provider Agency
5	261Q00000X	Clinic/Center
6	261QM0850X	Adult Mental Health Clinic/Center
7	261QM0855X	Adolescent and Children Mental Health Clinic/Center
8	261QD1600X	Developmental Disabilities Clinic/Center

General Provider Information

NPI Number	:	1083253850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDS OF CYRUS INC

Provider Business Mailing Address
First Line	:	2245 US HIGHWAY 130 STE 107
Second Line	:
City	:	DAYTON
State	:	NJ
Zip	:	08810-2420
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2245 US HIGHWAY 130 STE 107
Second Line	:
City	:	DAYTON
State	:	NJ
Zip	:	08810-2420
Country	:	US
Telephone Number	:	201-213-1935
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NAREN SINGHANI
Credential	:
Telephone Number	:	201-213-1935

Provider Enumeration Date	:	12/27/2019
Last Update Date	:	12/27/2019

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