# CROZER CHESTER MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104238385
- **Authorized official:** MS. NAKIA SMITH B.A. (ICM/KID INTENSIVE CASE MANAGER)
- **Authorized official phone:** (856) 520-4595

## Contact information

- **Practice address:** 2600 W 9TH ST, CHESTER, PA 19013-2040
- **Practice address phone:** (856) 520-4595
- **Mailing address:** 2600 W 9TH ST, CHESTER, PA 19013-2040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2014
- **Last updated:** 05/22/2014