Provider Demographics
NPI:1942022959
Name:RADNON FOCUSED COMMUNITY SYSTEMS
Entity type:Organization
Organization Name:RADNON FOCUSED COMMUNITY SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-440-6112
Mailing Address - Street 1:3906 CONCORD PIKE STE E
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-1733
Mailing Address - Country:US
Mailing Address - Phone:302-440-6112
Mailing Address - Fax:
Practice Address - Street 1:3906 CONCORD PIKE STE E
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-1733
Practice Address - Country:US
Practice Address - Phone:302-440-6112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Single Specialty