OrganizationActive
Family Support Services
NPI 1831214691 · Early Intervention Provider Agency · Philadelphia, PA
Provider details
- NPI number
- 1831214691
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shawn Lacey, Executive Director(610) 352-7610
Specialties & taxonomies
Agencies
Practice location
4212 Chestnut St
Philadelphia, PA 19104-3015
Phone: (215) 382-3171
Approximate (ZIP-level) locationGet directions
Mailing address
4212 Chestnut St
Philadelphia, PA 19104-3015
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2008-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.