Organization
CARSON VALLEY CHILDREN'S AID
Active
Other names
Carson Valley School
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH NIEZGODA MBA (INTERIM CEO)
(215) 233-1960
Entity
Organization
Contact information
Practice address
1419 BETHLEHEM PIKE, FLOURTOWN, PA 19031-1904
(215) 233-1960
(215) 233-9151
Mailing address
1419 BETHLEHEM PIKE, FLOURTOWN, PA 19031-1904
(215) 233-1960
(215) 233-9151
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
1002909500008
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002909500008
—
PA
05
—
100290950002
—
PA
Enumeration date
02/05/2007
Last updated
01/17/2014
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