Provider Demographics
NPI:1518007996
Name:CRISIS MANAGEMENT SERVICES
Entity Type:Organization
Organization Name:CRISIS MANAGEMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-875-2183
Mailing Address - Street 1:2401 PENROSE AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-5350
Mailing Address - Country:US
Mailing Address - Phone:215-755-6203
Mailing Address - Fax:215-755-3215
Practice Address - Street 1:2401 PENROSE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-5350
Practice Address - Country:US
Practice Address - Phone:215-755-6203
Practice Address - Fax:215-755-3215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA181020323P00000X
PA807226324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Not Answered324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility