Organization
CHILD AND FAMILY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOS P., ELEFTHERIOS PHD (CEO)
(610) 376-8558
Entity
Organization
Contact information
Practice address
1455 MARION ST., 12TH & MARION ELEMENTARY SCHOOL, READING, PA 19604
(610) 376-8558
Mailing address
4 S 4TH ST, 2ND FLOOR, READING, PA 19602-2820
(610) 376-8558
(610) 376-2779
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
209300
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007782100002
—
PA
Enumeration date
12/24/2007
Last updated
12/24/2007
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