Provider Demographics
NPI:1952320046
Name:PENNSYLVANIA CLINICAL SCHOOLS, INC
Entity Type:Organization
Organization Name:PENNSYLVANIA CLINICAL SCHOOLS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-486-0778
Mailing Address - Street 1:1830 TOWERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-4849
Mailing Address - Country:US
Mailing Address - Phone:610-486-0778
Mailing Address - Fax:610-486-0751
Practice Address - Street 1:1830 TOWERVIEW DR
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-4849
Practice Address - Country:US
Practice Address - Phone:610-486-0778
Practice Address - Fax:610-486-0751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA123710323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility