Provider Demographics
NPI:1932314390
Name:CRAWFORD COUNTY HUMAN SERVICES
Entity Type:Organization
Organization Name:CRAWFORD COUNTY HUMAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CROWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-336-4352
Mailing Address - Street 1:18282 TECHNOLOGY DRIVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-8378
Mailing Address - Country:US
Mailing Address - Phone:814-336-4352
Mailing Address - Fax:814-333-2377
Practice Address - Street 1:18282 TECHNOLOGY DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-8378
Practice Address - Country:US
Practice Address - Phone:814-336-4352
Practice Address - Fax:814-333-2377
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CRAWFORD COUNTY COMMISIONER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-11
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA171M00000X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty