| Organization Name: | FAMILY SERVICE ASSOCIATION |
| NPI Number: | 1649698879 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AUDREY TUCKER (CHEIF EXECUTIVE OFFICER) |
| Mailing Address: | 1800 Keystone St Croydon |
| State: | PA US |
| Postal Code: | 190216830 |
| Phone Number: | 2157887995 |
| Fax Number: | 2157811468 |
| NPI Enumeration Date: | 04/04/2014 |
| NPI Last Update Date: | 04/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 12590 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |