Provider Demographics
NPI:1164905626
Name:CHILD'S WORK COUNSELING SERVICE INC.
Entity Type:Organization
Organization Name:CHILD'S WORK COUNSELING SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:AUDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATZURA
Authorized Official - Suffix:
Authorized Official - Credentials:MA LBS
Authorized Official - Phone:610-844-3458
Mailing Address - Street 1:1895 ROUTE 212
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-3314
Mailing Address - Country:US
Mailing Address - Phone:610-844-3458
Mailing Address - Fax:610-346-6226
Practice Address - Street 1:1895 ROUTE 212
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-3314
Practice Address - Country:US
Practice Address - Phone:610-844-3458
Practice Address - Fax:610-346-6226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty