Provider Demographics
NPI:1972780310
Name:COMMUNITY ADVOCATES ASSOCIATION FOR CHILDREN AND YOUTH, INC
Entity Type:Organization
Organization Name:COMMUNITY ADVOCATES ASSOCIATION FOR CHILDREN AND YOUTH, INC
Other - Org Name:STRENGTHS BASED TRAINING & RESOURCE SYSTEMS
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:215-769-8480
Mailing Address - Street 1:2313 W OXFORD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19121-2915
Mailing Address - Country:US
Mailing Address - Phone:215-769-8480
Mailing Address - Fax:215-765-8493
Practice Address - Street 1:42 S 15TH ST
Practice Address - Street 2:SUITE 1313
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-2218
Practice Address - Country:US
Practice Address - Phone:215-988-0250
Practice Address - Fax:215-988-0280
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY ADVOCATES ASSOCIATION FOR CHILDREN AND YOUTH, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-29
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health