# CARSON VALLEY CHILDREN'S AID

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carson Valley School
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467591974
- **Authorized official:** MR. JOSEPH NIEZGODA MBA (INTERIM CEO)
- **Authorized official phone:** (215) 233-1960

## Contact information

- **Practice address:** 1419 BETHLEHEM PIKE, FLOURTOWN, PA 19031-1904
- **Practice address phone:** (215) 233-1960
- **Practice address fax:** (215) 233-9151
- **Mailing address:** 1419 BETHLEHEM PIKE, FLOURTOWN, PA 19031-1904
- **Mailing address phone:** (215) 233-1960
- **Mailing address fax:** (215) 233-9151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 1002909500008 | PA | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 01/17/2014
