| Child And Family Support Services, Inc | |
|
4 S 4th St Reading PA 19602-1004 | |
| (610) 376-8558 | |
| Not Available |
| Full Name | Child And Family Support Services, Inc |
|---|---|
| Speciality | Counselor |
| Location | 4 S 4th St, Reading, Pennsylvania |
| Authorized Official Name and Position | Chris Eleftherios (CEO) |
| Authorized Official Contact | 6103768558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Family Support Services, Inc 4 S 4th St Reading PA 19602-1004 Ph: (610) 376-8558 | Child And Family Support Services, Inc 4 S 4th St Reading PA 19602-1004 Ph: (610) 376-8558 |
| NPI Number | 1265407910 |
|---|---|
| Provider Enumeration Date | 02/17/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2769545300 |
|---|---|
| Medicare Enrollment ID | O20090108000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265407910 | NPI | - | NPPES |
| 1007782100006 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 209300 (Pennsylvania) | Primary |
| Provider Name | George A Wiswesser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508803347 PECOS PAC ID: 5991798662 Enrollment ID: I20040407000848 |
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