Organization
FRIENDS BEHAVIORAL HEALTH SYSTEM, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124-2343
(215) 831-4600
(215) 831-6984
Mailing address
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124-2343
(215) 831-4600
(215) 831-6984
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001471000
BLUE CROSS PROVIDER NUMBE
PA
05
—
1012776950001
—
PA
Enumeration date
11/10/2005
Last updated
03/24/2011
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