Provider Demographics
NPI:1093180937
Name:POSITIVE SUPPORTS
Entity Type:Organization
Organization Name:POSITIVE SUPPORTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:M
Authorized Official - Last Name:HELM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-833-0376
Mailing Address - Street 1:109 CONWAY CT
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2913
Mailing Address - Country:US
Mailing Address - Phone:215-833-0376
Mailing Address - Fax:610-441-7405
Practice Address - Street 1:109 CONWAY CT
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2913
Practice Address - Country:US
Practice Address - Phone:215-833-0376
Practice Address - Fax:610-441-7405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health