Provider Demographics
NPI:1295912616
Name:CENTER FOR FAMILY ATTACHMENT AND HEALING INC
Entity type:Organization
Organization Name:CENTER FOR FAMILY ATTACHMENT AND HEALING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:MORAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LSW
Authorized Official - Phone:717-856-1750
Mailing Address - Street 1:3525 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4319
Mailing Address - Country:US
Mailing Address - Phone:717-856-1750
Mailing Address - Fax:717-975-2055
Practice Address - Street 1:3525 GREEN ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4319
Practice Address - Country:US
Practice Address - Phone:717-856-1750
Practice Address - Fax:717-975-2055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW124212252Y00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency