Provider Demographics
NPI:1982786703
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:
Authorized Official - First Name:MEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BWINT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-650-7750
Mailing Address - Street 1:920 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:PA
Mailing Address - Zip Code:19403-2307
Mailing Address - Country:US
Mailing Address - Phone:610-650-7750
Mailing Address - Fax:
Practice Address - Street 1:11 DAVIS RD
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-4619
Practice Address - Country:US
Practice Address - Phone:610-650-7750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
PA320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
Not Answered320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007338710001Medicaid