Provider Demographics
NPI:1003085804
Name:BUTLER COUNTY CHILDREN & YOUTH SERVICES
Entity Type:Organization
Organization Name:BUTLER COUNTY CHILDREN & YOUTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TEJCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-284-5164
Mailing Address - Street 1:PO BOX 1208
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16003-1208
Mailing Address - Country:US
Mailing Address - Phone:724-284-5156
Mailing Address - Fax:724-284-1433
Practice Address - Street 1:124 W DIAMOND ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5780
Practice Address - Country:US
Practice Address - Phone:724-284-5156
Practice Address - Fax:724-284-1433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA416220251B00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care