Provider Demographics
NPI:1679988661
Name:CHOR YOUTH AND FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:CHOR YOUTH AND FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:LASORSA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:610-478-8266
Mailing Address - Street 1:1010 CENTRE AVE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-1408
Mailing Address - Country:US
Mailing Address - Phone:610-478-8266
Mailing Address - Fax:
Practice Address - Street 1:25TH AND LEHIGH ST.
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3851
Practice Address - Country:US
Practice Address - Phone:610-250-1944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-27
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100774159Medicaid