Organization
AFFINITY FAMILY SUPPORT SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANN POTTER L.C.S.W (EXECUTIVE DIRECTOR)
(814) 835-1700
Entity
Organization
Contact information
Practice address
1324 W 38TH ST, ERIE, PA 16508-2462
(814) 835-1700
(814) 835-1701
Mailing address
1324 W 38TH ST, ERIE, PA 16508-2462
(814) 835-1700
(814) 835-1701
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CW013620
PA
Other
Enumeration date
04/08/2011
Last updated
12/02/2016
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