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General NPI Number Information
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NPI Number | 1619150844
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Entity Type | Organization
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Legal Business Name | CHILD AND FAMILY SUPPORT SERVCIES, INC.
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 12/11/2007
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Provider Practice Location Address
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Address Line | 515 OLD SWEDE RD 2ND FLOOR
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City | DOUGLASSVILLE
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State | PA
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Zip | 19518-1208
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Country | US
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Telephone | 610-376-8558
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Fax |
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Provider Business Mailing Address
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Address Line | 4 S 4TH ST
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City | READING
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State | PA
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Zip | 19602-2820
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Country | US
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Telephone | 610-376-8558
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Fax | 610-376-2779
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Authorized Official
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Title or Position | CEO
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Name | DR. CHRISTOS P. ELEFTHERIOS
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Credential | PHD
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Telephone | 610-376-8558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 213010
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License Number State | PA
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