Healthcare Provider Details

I. General information

NPI: 1851063473
Provider Name (Legal Business Name): CHOR YOUTH AND FAMILY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2021
Last Update Date: 10/01/2021
Certification Date: 10/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 S MAIN ST STE 213
DOYLESTOWN PA
18901-4873
US

IV. Provider business mailing address

1010 CENTRE AVE
READING PA
19601-1498
US

V. Phone/Fax

Practice location:
  • Phone: 215-345-8828
  • Fax: 215-348-3645
Mailing address:
  • Phone: 610-478-8266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. VINCE J. LASORSA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 610-478-8266