Healthcare Provider Details

I. General information

NPI: 1861973232
Provider Name (Legal Business Name): CHILD & FAMILY FOCUS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2018
Last Update Date: 08/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LONGFELLOW RD
WYNCOTE PA
19095-2915
US

IV. Provider business mailing address

920 MADISON AVE
EAGLEVILLE PA
19403-2307
US

V. Phone/Fax

Practice location:
  • Phone: 484-213-7287
  • Fax:
Mailing address:
  • Phone: 484-213-7287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MEL BWINT
Title or Position: CEO
Credential:
Phone: 610-650-7750