Healthcare Provider Details

I. General information

NPI: 1922068725
Provider Name (Legal Business Name): FAMILY & COMMUNITY SERVICE OF DELAWARE COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 E WOODLAND AVE STE 212
SPRINGFIELD PA
19064-3956
US

IV. Provider business mailing address

1260 E WOODLAND AVE STE 212
SPRINGFIELD PA
19064-3956
US

V. Phone/Fax

Practice location:
  • Phone: 610-566-7540
  • Fax: 484-412-6976
Mailing address:
  • Phone: 610-566-7540
  • Fax: 484-412-6976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RONALD POWERS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 610-566-7540