Provider Demographics
NPI:1740465574
Name:JEWISH FAMILY SERVICES
Entity type:Organization
Organization Name:JEWISH FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZATUCHNI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:302-478-9411
Mailing Address - Street 1:101 GARDEN OF EDEN RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-1511
Mailing Address - Country:US
Mailing Address - Phone:302-478-9411
Mailing Address - Fax:302-479-9883
Practice Address - Street 1:101 GARDEN OF EDEN RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-1511
Practice Address - Country:US
Practice Address - Phone:302-478-9411
Practice Address - Fax:302-479-9883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-0000812251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health