Healthcare Provider Details

I. General information

NPI: 1104382845
Provider Name (Legal Business Name): HUMAN SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2019
Last Update Date: 02/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 HIGHLAND RD
ATGLEN PA
19310-1603
US

IV. Provider business mailing address

2217 BALTIMORE PIKE
OXFORD PA
19363-4013
US

V. Phone/Fax

Practice location:
  • Phone: 610-873-1010
  • Fax: 610-873-9307
Mailing address:
  • Phone: 610-873-1010
  • Fax: 610-873-9307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH HIGGINS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 610-872-1010