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Contact Information

CHILD GUIDANCE RESOURCE CENTERS
2901 ISLAND AVE
PHILADELPHIA, PA19153-3013
 Phone: 484-454-8735
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Case Management

251B00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for CHILD GUIDANCE RESOURCE CENTERS

NPI # 1265872907
LBN Legal business name CHILD GUIDANCE RESOURCE CENTERS
Authorized official TODD JARGER - (DIRECTOR PI)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2013
Last updated 01/14/2016 - About 10 years ago
Identifiers
PA License # 112610
PA License # 184890
PA Medicaid 100005940
PA Medicaid 112610
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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