Provider Demographics
NPI:1548406879
Name:NORTHWESTERN HUMAN SERVICES INC
Entity Type:Organization
Organization Name:NORTHWESTERN HUMAN SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORP SR. DIRECTOR OF BUSINESS OPS.
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:ZABOLOTNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-836-3131
Mailing Address - Street 1:906 BETHLEHEM PIKE
Mailing Address - Street 2:
Mailing Address - City:ERDENHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:19038-7731
Mailing Address - Country:US
Mailing Address - Phone:215-836-3131
Mailing Address - Fax:215-836-2609
Practice Address - Street 1:620 GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE HILL
Practice Address - State:PA
Practice Address - Zip Code:19444-1810
Practice Address - Country:US
Practice Address - Phone:215-836-3131
Practice Address - Fax:215-836-2609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management