Provider Demographics
NPI:1164637955
Name:TABOR CHILDREN'S SERVICES INC
Entity Type:Organization
Organization Name:TABOR CHILDREN'S SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAUSSMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:215-842-4800
Mailing Address - Street 1:57 E ARMAT ST
Mailing Address - Street 2:PHILADELPHIA
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-2201
Mailing Address - Country:US
Mailing Address - Phone:215-842-4800
Mailing Address - Fax:215-842-4809
Practice Address - Street 1:57 E ARMAT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-2201
Practice Address - Country:US
Practice Address - Phone:215-842-4800
Practice Address - Fax:215-842-4809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW002087E104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty