Provider Demographics
NPI:1346891736
Name:ROW PSYCHIATRIC SERVICES, LLC
Entity Type:Organization
Organization Name:ROW PSYCHIATRIC SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:FORDJOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-999-1908
Mailing Address - Street 1:40 DARBY RD
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1481
Mailing Address - Country:US
Mailing Address - Phone:610-999-1908
Mailing Address - Fax:267-214-3250
Practice Address - Street 1:40 DARBY RD
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1481
Practice Address - Country:US
Practice Address - Phone:610-999-1908
Practice Address - Fax:267-214-3250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-26
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty