Provider Demographics
NPI:1245581461
Name:SPECTRUM SOCIAL SERVICES, INC.
Entity Type:Organization
Organization Name:SPECTRUM SOCIAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GERBER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RN, BC
Authorized Official - Phone:610-717-5722
Mailing Address - Street 1:1655 VALLEY CENTER PKWY
Mailing Address - Street 2:ST 150
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-2347
Mailing Address - Country:US
Mailing Address - Phone:610-717-5722
Mailing Address - Fax:610-717-5740
Practice Address - Street 1:1655 VALLEY CENTER PKWY
Practice Address - Street 2:ST 150
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-2347
Practice Address - Country:US
Practice Address - Phone:610-717-5722
Practice Address - Fax:610-717-5740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-27
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101480341OtherMPI