Organization
JEWISH FAMILY & CHILDRENS SERV
Active
Other names
Jewish Family Psych Services
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY DIANE OWEN (PROGRAM OFFICER)
(267) 838-1462
Entity
Organization
Contact information
Practice address
345 MONTGOMERY AVE REAR, BALA CYNWYD, PA 19004-2801
(267) 256-2100
Mailing address
345 MONTGOMERY AVE REAR, BALA CYNWYD, PA 19004-2801
(267) 256-2100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
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
12/14/2006
Last updated
07/12/2024
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