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Organization

CHILDWAY PEDIATRIC SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTOPHER C JORDAN (CEO)
(215) 808-4860
Entity
Organization

Contact information

Practice address
607 E MAIN ST, LANSDALE, PA 19446-2935
(215) 362-4950
(215) 997-8760
Mailing address
607 E MAIN ST, LANSDALE, PA 19446-2935
(215) 808-4860

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
137150
PA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
139840
PA

Other

Enumeration date
06/30/2011
Last updated
10/06/2016
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