Provider Demographics
NPI:1447708854
Name:C AND S COUNSELING OF NJ
Entity type:Organization
Organization Name:C AND S COUNSELING OF NJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:732-814-6940
Mailing Address - Street 1:500 NORTH MAIN STREET
Mailing Address - Street 2:LANLAC BLD#2 SUITE 1
Mailing Address - City:LANOKA HARBOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08734
Mailing Address - Country:US
Mailing Address - Phone:732-814-6940
Mailing Address - Fax:
Practice Address - Street 1:500 NORTH MAIN STREET
Practice Address - Street 2:LANLAC BLD#2 SUITE 1
Practice Address - City:LANOKA HARBOR
Practice Address - State:NJ
Practice Address - Zip Code:08734
Practice Address - Country:US
Practice Address - Phone:732-814-6940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC01293000261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder