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General NPI Number Information
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NPI Number | 1467073924
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Entity Type | Organization
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Legal Business Name | CHILDFIRST SERVICES, INC.
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Dates
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Enumeration Date | 05/06/2020
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 2021 N 63RD ST STE 300
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City | PHILADELPHIA
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State | PA
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Zip | 19151-2609
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Country | US
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Telephone | 570-977-1430
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Fax |
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Provider Business Mailing Address
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Address Line | 7310 TILGHMAN ST STE 300
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City | ALLENTOWN
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State | PA
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Zip | 18106-9295
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Country | US
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Telephone | 570-977-1430
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | NATHANIEL J. WILLIAMS
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Credential |
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Telephone | 570-977-4301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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