MEDICARE: YORK COUNTY CHILDREN & YOUTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1000067690009	OTHER	PA	DPW

General Provider Information

NPI Number	:	1760593800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YORK COUNTY CHILDREN & YOUTH

Provider Business Mailing Address
First Line	:	100 W MARKET ST
Second Line	:	SUITE 401
City	:	YORK
State	:	PA
Zip	:	17401-1332
Country	:	US
Telephone Number	:	717-846-8496
Fax Number	:	717-771-9884

Provider Business Practice Location Address
First Line	:	100 W MARKET ST
Second Line	:	SUITE 401
City	:	YORK
State	:	PA
Zip	:	17401-1332
Country	:	US
Telephone Number	:	717-846-8496
Fax Number	:	717-771-9884

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR OF HUMAN SERVICE
Name	:	DR. JUDITH A BASSETT
Credential	:	ED.D., M.H.A.
Telephone Number	:	717-771-9347

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/22/2020

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Directions to “YORK COUNTY CHILDREN & YOUTH ” Practice Location

Language	Start Address	Practice Location

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