Provider Demographics
NPI:1427201862
Name:DELEWARE VALLY CHILDREN'S CENTER
Entity Type:Organization
Organization Name:DELEWARE VALLY CHILDREN'S CENTER
Other - Org Name:FOUNDATIONS BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BEHAVIOR SPECIALIST CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADRIANNA
Authorized Official - Middle Name:ZENIA
Authorized Official - Last Name:SIMONDS
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:215-284-3845
Mailing Address - Street 1:121 FORREST CREEK CT
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-4266
Mailing Address - Country:US
Mailing Address - Phone:215-284-3845
Mailing Address - Fax:
Practice Address - Street 1:121 FORREST CREEK CT
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19053-4266
Practice Address - Country:US
Practice Address - Phone:215-284-3845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization