Provider Demographics
NPI:1104687367
Name:THE LINCOLN CENTER FOR FAMILY AND YOUTH
Entity type:Organization
Organization Name:THE LINCOLN CENTER FOR FAMILY AND YOUTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:GATTO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:610-389-9090
Mailing Address - Street 1:1100 ADAMS AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:PA
Mailing Address - Zip Code:19403-2404
Mailing Address - Country:US
Mailing Address - Phone:610-389-9090
Mailing Address - Fax:
Practice Address - Street 1:1100 ADAMS AVE STE 100
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:PA
Practice Address - Zip Code:19403-2404
Practice Address - Country:US
Practice Address - Phone:610-389-9090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE LINCOLN CENTER FOR FAMILY AND YOUTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-16
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty