# GUSTAVUS ADOLPHUS CHILD & FAMILY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LUTHERAN SOCIAL SERVICES GROUP, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023206646
- **Legal business name:** LUTHERAN SOCIAL SERVICES GROUP, INC.
- **Authorized official:** MR. JASON BECKWITH (CFO)
- **Authorized official phone:** (716) 665-8161

## Contact information

- **Practice address:** 705 FALCONER ST, JAMESTOWN, NY 14701-1935
- **Practice address phone:** (716) 665-2116
- **Mailing address:** 200 GUSTAVUS AVE, JAMESTOWN, NY 14701-1815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 10/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00356547 | — | NY |