Provider Demographics
NPI:1003945742
Name:VENANGO COUNTY CHILDREN & YOUTH SERVICES
Entity Type:Organization
Organization Name:VENANGO COUNTY CHILDREN & YOUTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN SERVICES DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-432-9743
Mailing Address - Street 1:1283 LIBERTY ST
Mailing Address - Street 2:P.O. BOX 1130
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-1333
Mailing Address - Country:US
Mailing Address - Phone:814-432-9743
Mailing Address - Fax:814-432-9728
Practice Address - Street 1:1283 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-1333
Practice Address - Country:US
Practice Address - Phone:814-432-9743
Practice Address - Fax:814-432-9728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA415120251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care