Provider Demographics
NPI:1346375680
Name:COMMUNITY INTERACTIONS, INC.
Entity Type:Organization
Organization Name:COMMUNITY INTERACTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT & CFO
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLIFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-328-9008
Mailing Address - Street 1:740 S CHESTER RD
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-2226
Mailing Address - Country:US
Mailing Address - Phone:610-328-9008
Mailing Address - Fax:610-328-4597
Practice Address - Street 1:740 S CHESTER RD
Practice Address - Street 2:
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-2226
Practice Address - Country:US
Practice Address - Phone:610-328-9008
Practice Address - Fax:610-328-4597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004668L103T00000X
103TM1800X
PA329300251C00000X
PA137660320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100000228OtherMPI