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Organization
THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Active
Organization
THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Active
Parent organization
THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Authorized official
MR. XAVIER BANCROFT (CEO/PRESIDENT)
(215) 787-9001
Entity
Organization
Contact information
Practice address
801 W GIRARD AVE, PHILADELPHIA, PA 19122-4212
(215) 787-2000
(215) 787-2115
Mailing address
801 W GIRARD AVE, PHILADELPHIA, PA 19122-4212
(215) 787-2000
(215) 787-2115
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100727696
—
PA
01
—
117015
COMMUNITY BEHAVIOR HEALTH
PA
Enumeration date
07/09/2006
Last updated
08/01/2025
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