Organization
COMMUNITY INTERACTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY CLIFT (SENIOR VICE PRESIDENT & CFO)
(610) 328-9008
Entity
Organization
Contact information
Practice address
740 S CHESTER RD, SWARTHMORE, PA 19081-2226
(610) 328-9008
(610) 328-4597
Mailing address
740 S CHESTER RD, SWARTHMORE, PA 19081-2226
(610) 328-9008
(610) 328-4597
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS004668L
PA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
329300
PA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
137660
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100000228
MPI
PA
Enumeration date
02/23/2007
Last updated
03/27/2013
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