Organization
TABOR CHILDREN'S SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT EDWARD HAUSSMANN PHD (CIO)
(215) 842-4800
Entity
Organization
Contact information
Practice address
3700 SPRING GARDEN ST, PHILADELPHIA, PA 19104-2354
(215) 842-4800
Mailing address
601 NEW BRITAIN RD, DOYLESTOWN, PA 18901-2788
(215) 842-4800
(215) 348-9261
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
100003856
PA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
100003856
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000038560020
PA DPW
PA
Enumeration date
09/05/2013
Last updated
09/05/2013
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