Organization
TABOR CHILDREN'S SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT EDWARD HAUSSMANN PHD (EXECUTIVE DIRECTOR)
(215) 842-4800
Entity
Organization
Contact information
Practice address
6667 MUSGRAVE ST, PHILADELPHIA, PA 19119-2266
(215) 842-4800
(215) 842-4809
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
100003856
PA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
100003856
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100003856
PROMISE
PA
Enumeration date
03/20/2013
Last updated
03/20/2013
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