Provider Demographics
NPI:1508389651
Name:MULTI-THERAPY SERVICES, INCORPORATED
Entity Type:Organization
Organization Name:MULTI-THERAPY SERVICES, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEP
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-940-5006
Mailing Address - Street 1:1926 ARCH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-1444
Mailing Address - Country:US
Mailing Address - Phone:267-940-5001
Mailing Address - Fax:
Practice Address - Street 1:900 HADDON AVE STE 233
Practice Address - Street 2:
Practice Address - City:COLLINGSWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08108-2114
Practice Address - Country:US
Practice Address - Phone:856-240-7027
Practice Address - Fax:856-240-7027
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WES CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-20
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0490814Medicaid