Provider Demographics
NPI:1912172453
Name:CHILD AND FAMILY FOCUS INC.
Entity Type:Organization
Organization Name:CHILD AND FAMILY FOCUS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BWINT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:610-650-7750
Mailing Address - Street 1:2935 BYBERRY RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-2815
Mailing Address - Country:US
Mailing Address - Phone:215-957-9771
Mailing Address - Fax:215-957-9785
Practice Address - Street 1:920 MADISON AVE
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:PA
Practice Address - Zip Code:19403-2307
Practice Address - Country:US
Practice Address - Phone:610-650-7750
Practice Address - Fax:610-650-7759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA120350251K00000X
PA120340251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007338710001Medicaid