Provider Demographics
NPI:1306059472
Name:JEWISH FAMILY SERVICES OF YORK
Entity type:Organization
Organization Name:JEWISH FAMILY SERVICES OF YORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:KANOVITZ
Authorized Official - Last Name:KRECHMER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:717-843-5011
Mailing Address - Street 1:2000 HOLLYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-4210
Mailing Address - Country:US
Mailing Address - Phone:717-843-5011
Mailing Address - Fax:717-846-3025
Practice Address - Street 1:2000 HOLLYWOOD DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4210
Practice Address - Country:US
Practice Address - Phone:717-843-5011
Practice Address - Fax:717-846-3025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW000389L251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA770268Medicare PIN