Provider Demographics
NPI:1336832377
Name:CHILDREN'S AID HOME PROGRAMS OF SOMERSET COUNTY INC
Entity Type:Organization
Organization Name:CHILDREN'S AID HOME PROGRAMS OF SOMERSET COUNTY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:WESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-443-1637
Mailing Address - Street 1:PO BOX 1195
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-0320
Mailing Address - Country:US
Mailing Address - Phone:814-443-1637
Mailing Address - Fax:814-445-8481
Practice Address - Street 1:1476 N CENTER AVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-1632
Practice Address - Country:US
Practice Address - Phone:814-443-1637
Practice Address - Fax:814-445-8481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health