Organization
CHILDREN'S SERVICE,INC.
Active
Organization
CHILDREN'S SERVICE,INC.
Active
Other names
Children's Service Inc. Behavioral Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY P SIMMONS LSW,ACSW (EXECUTIVE DIRECTOR)
(215) 546-3503
Entity
Organization
Contact information
Practice address
1315 WALNUT ST, SUITE 200, PHILADELPHIA, PA 19107-4719
(215) 546-3503
(215) 546-1633
Mailing address
1315 WALNUT ST, SUITE 200, PHILADELPHIA, PA 19107-4719
(215) 546-3503
(215) 546-1633
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
197210
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007550000001
—
PA
Enumeration date
12/11/2006
Last updated
11/02/2007
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