Provider Demographics
NPI:1821359928
Name:FAMILY SERVICE OF CHESTER COUNTY
Entity Type:Organization
Organization Name:FAMILY SERVICE OF CHESTER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:
Authorized Official - Last Name:WALSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-696-4900
Mailing Address - Street 1:310 N MATLACK ST
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-2620
Mailing Address - Country:US
Mailing Address - Phone:610-696-4900
Mailing Address - Fax:
Practice Address - Street 1:310 N MATLACK ST
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-2620
Practice Address - Country:US
Practice Address - Phone:610-696-4900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW129250251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100743608Medicaid
PA100743608Medicaid