| Jewish Family & Childrens Service | |
|
3801 Conshohocken Ave Ste 123 Philadelphia PA 19131-5536 | |
| (215) 878-2336 | |
| (215) 878-2379 |
| Full Name | Jewish Family & Childrens Service |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3801 Conshohocken Ave Ste 123, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Susan Wyland (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2154969700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family & Childrens Service 2100 Arch St Fl 5 Philadelphia PA 19103-1300 Ph: (215) 496-9700 | Jewish Family & Childrens Service 3801 Conshohocken Ave Ste 123 Philadelphia PA 19131-5536 Ph: (215) 878-2336 |
| NPI Number | 1629258157 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 11/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629258157 | NPI | - | NPPES |
| 1000008810009 | Medicaid | PA | |
| 1000008810019 | Other | PA | DPW PDA WAIVER |
| 1000008810025 | Other | PA | DEPT OF PUBLIC WELFARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1041C0700X (Pennsylvania) | Primary |
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