Provider Demographics
NPI:1104382845
Name:HUMAN SERVICES, INC.
Entity Type:Organization
Organization Name:HUMAN SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-872-1010
Mailing Address - Street 1:2217 BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19363-4013
Mailing Address - Country:US
Mailing Address - Phone:610-873-1010
Mailing Address - Fax:610-873-9307
Practice Address - Street 1:226 HIGHLAND RD
Practice Address - Street 2:
Practice Address - City:ATGLEN
Practice Address - State:PA
Practice Address - Zip Code:19310-1603
Practice Address - Country:US
Practice Address - Phone:610-873-1010
Practice Address - Fax:610-873-9307
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUMAN SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-19
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA10727883Medicaid