Provider Demographics
NPI:1881756963
Name:CHILDREN AND ADULT DISABIILTY AND EDUCATIONAL SERVICES
Entity type:Organization
Organization Name:CHILDREN AND ADULT DISABIILTY AND EDUCATIONAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-328-5955
Mailing Address - Street 1:401 RUTGERS AVE
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-2434
Mailing Address - Country:US
Mailing Address - Phone:610-328-5955
Mailing Address - Fax:610-938-8785
Practice Address - Street 1:401 RUTGERS AVE
Practice Address - Street 2:
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-2434
Practice Address - Country:US
Practice Address - Phone:610-328-5955
Practice Address - Fax:610-938-8785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100002053OtherMPI NUMBER FOR MA BILLING