Organization
AFFINITY FAMILY SUPPORT SERVICES PC
Active
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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