Organization
WOODS COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN ANGELINI (AVP SPECIAL PROJECTS)
(215) 750-4285
Entity
Organization
Contact information
Practice address
22 LAUREL LN, LEVITTOWN, PA 19054-3920
(215) 750-4000
Mailing address
40 MARTIN GROSS DR, LANGHORNE, PA 19047-1616
(215) 750-4244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
2084P0800X
Psychiatry Physician
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CER-00190071
PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES
PA
Enumeration date
05/09/2022
Last updated
09/08/2022
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