Provider Demographics
NPI:1174262778
Name:WINCROFT SUPPORT SERVICES
Entity Type:Organization
Organization Name:WINCROFT SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:WINIFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:KROFAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-247-5407
Mailing Address - Street 1:1085 N BLACK HORSE PIKE STE 8
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-2800
Mailing Address - Country:US
Mailing Address - Phone:610-247-5407
Mailing Address - Fax:
Practice Address - Street 1:1085 N BLACK HORSE PIKE STE 8
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-2800
Practice Address - Country:US
Practice Address - Phone:610-247-5407
Practice Address - Fax:856-740-4900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health