Provider Demographics
NPI:1417240599
Name:METHODIST SERVICES FOR CHILDREN AND FAMILIES
Entity Type:Organization
Organization Name:METHODIST SERVICES FOR CHILDREN AND FAMILIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ALAINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:AUCHENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LSW
Authorized Official - Phone:610-824-2404
Mailing Address - Street 1:PO BOX 192
Mailing Address - Street 2:
Mailing Address - City:AQUASHICOLA
Mailing Address - State:PA
Mailing Address - Zip Code:18012-0192
Mailing Address - Country:US
Mailing Address - Phone:610-824-2404
Mailing Address - Fax:610-824-4465
Practice Address - Street 1:4115 FOREST INN ROAD
Practice Address - Street 2:
Practice Address - City:AQUASHICOLA
Practice Address - State:PA
Practice Address - Zip Code:18012-0192
Practice Address - Country:US
Practice Address - Phone:610-824-2404
Practice Address - Fax:610-824-4465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW128404251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health