Provider Demographics
NPI:1598190175
Name:EXCEPTIONAL CONNECTIONS, INC
Entity Type:Organization
Organization Name:EXCEPTIONAL CONNECTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SLOWIK
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:215-341-7720
Mailing Address - Street 1:2801 WOODLAND RD
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:PA
Mailing Address - Zip Code:19001-2242
Mailing Address - Country:US
Mailing Address - Phone:215-285-3688
Mailing Address - Fax:
Practice Address - Street 1:2801 WOODLAND RD
Practice Address - Street 2:
Practice Address - City:ROSLYN
Practice Address - State:PA
Practice Address - Zip Code:19001-2242
Practice Address - Country:US
Practice Address - Phone:215-285-3688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-13
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health