Organization
NORTHWESTER HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE DIRUSSO (DIRECTOR OF CUSTOMER SERVICE)
(610) 247-6292
Entity
Organization
Contact information
Practice address
400 N BROAD ST, LANSDALE, PA 19446-2414
(215) 368-2022
(215) 855-6454
Mailing address
400 N BROAD ST, LANSDALE, PA 19446-2414
(215) 368-2022
(215) 855-6454
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CW015769
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020074510001
—
PA
Enumeration date
01/17/2008
Last updated
10/01/2021
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