Provider Demographics
NPI:1851606115
Name:WOMEN AGAINST ABUSE, INC
Entity Type:Organization
Organization Name:WOMEN AGAINST ABUSE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:LISITSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:215-386-1280
Mailing Address - Street 1:100 S BROAD ST
Mailing Address - Street 2:SUITE 1341
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19110-1023
Mailing Address - Country:US
Mailing Address - Phone:215-386-1280
Mailing Address - Fax:
Practice Address - Street 1:100 S BROAD ST
Practice Address - Street 2:SUITE 1341
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19110-1023
Practice Address - Country:US
Practice Address - Phone:215-386-1280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW010226L251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health