# BETHANNA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bethanna Bible and Missionary Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255407532
- **Authorized official:** MR. RONALD LEIGH FRITCH (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (215) 355-6500

## Contact information

- **Practice address:** 1030 2ND STREET PIKE, SOUTHAMPTON, PA 18966-3955
- **Practice address phone:** (215) 355-6500
- **Practice address fax:** (215) 355-8617
- **Mailing address:** 1030 2ND STREET PIKE, SOUTHAMPTON, PA 18966-3955
- **Mailing address phone:** (215) 355-6500
- **Mailing address fax:** (215) 355-8617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 105330 | PA | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 198510 | PA | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 198520 | PA | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 198530 | PA | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 198540 | PA | — |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007513410004 | — | PA |