Provider Demographics
NPI:1346561511
Name:DEAF SERVICES CENTER, LLC
Entity Type:Organization
Organization Name:DEAF SERVICES CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/CHIEFOPERATINGOFFICE
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HEINES
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:215-884-9770
Mailing Address - Street 1:614 N EASTON RD
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-4301
Mailing Address - Country:US
Mailing Address - Phone:215-884-9770
Mailing Address - Fax:215-884-6301
Practice Address - Street 1:614 N EASTON RD
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-4301
Practice Address - Country:US
Practice Address - Phone:215-884-9770
Practice Address - Fax:215-884-6301
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SALISBURY BEHAVIORAL HEALTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-22
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)