Provider Demographics
NPI:1972863520
Name:ABC 4 AUTISM SERVICES
Entity Type:Organization
Organization Name:ABC 4 AUTISM SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:GLORIA
Authorized Official - Last Name:PALMA
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:610-543-8973
Mailing Address - Street 1:307 RIVERVIEW RD
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-1219
Mailing Address - Country:US
Mailing Address - Phone:610-543-8973
Mailing Address - Fax:
Practice Address - Street 1:307 RIVERVIEW RD
Practice Address - Street 2:
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-1219
Practice Address - Country:US
Practice Address - Phone:610-543-8973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health