Organization
JEWISH FAMILY & CHILDRENS SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN WYLAND (CHIEF FINANCIAL OFFICER)
(215) 496-9700
Entity
Organization
Contact information
Practice address
3801 CONSHOHOCKEN AVE STE 123, PHILADELPHIA, PA 19131-5536
(215) 878-2336
(215) 878-2379
Mailing address
2100 ARCH ST FL 5, PHILADELPHIA, PA 19103-1300
(215) 496-9700
(215) 496-6622
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1041C0700X
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000008810009
—
PA
01
—
1000008810019
DPW PDA WAIVER
PA
01
—
1000008810025
DEPT OF PUBLIC WELFARE
PA
Enumeration date
11/13/2007
Last updated
11/13/2007
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