Provider Demographics
NPI:1679882633
Name:FAMILY CARE FOR CHILDREN AND YOUTH, INC.
Entity Type:Organization
Organization Name:FAMILY CARE FOR CHILDREN AND YOUTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HARRY
Authorized Official - Last Name:SHUTT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MSW
Authorized Official - Phone:570-522-9790
Mailing Address - Street 1:25 BELFORD BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:PA
Mailing Address - Zip Code:17847
Mailing Address - Country:US
Mailing Address - Phone:570-522-9790
Mailing Address - Fax:570-522-0016
Practice Address - Street 1:25 BELFORD BLVD
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:PA
Practice Address - Zip Code:17847-9701
Practice Address - Country:US
Practice Address - Phone:570-522-9790
Practice Address - Fax:570-522-0016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-24
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA310770253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency