# CHILDWAY PEDIATRIC SERVICES, INC.

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

## Provider details

- **NPI number:** 1619264462
- **Authorized official:** MR. CHRISTOPHER C JORDAN (CEO)
- **Authorized official phone:** (215) 808-4860

## Contact information

- **Practice address:** 607 E MAIN ST, LANSDALE, PA 19446-2935
- **Practice address phone:** (215) 362-4950
- **Practice address fax:** (215) 997-8760
- **Mailing address:** 607 E MAIN ST, LANSDALE, PA 19446-2935
- **Mailing address phone:** (215) 808-4860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 137150 | PA | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 139840 | PA | — |

## Other

- **Enumeration date:** 06/30/2011
- **Last updated:** 10/06/2016