| Community Integrated Services | |
|
441 N 5th St Ste 101 Philadelphia PA 19123-4009 | |
| (215) 870-7667 | |
| (215) 238-7423 |
| Full Name | Community Integrated Services |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 441 N 5th St Ste 101, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Susan Schonfeld (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2158707667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Integrated Services 441 N 5th St Ste 101 Philadelphia PA 19123-4009 Ph: (215) 870-7667 | Community Integrated Services 441 N 5th St Ste 101 Philadelphia PA 19123-4009 Ph: (215) 870-7667 |
| NPI Number | 1235738824 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 03/12/2021 |
| Certification Date | 03/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235738824 | NPI | - | NPPES |
| 250604976 | Medicaid | DE | |
| 000000060 | Medicaid | DE | |
| 000000057 | Medicaid | DE |
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