Organization
BECTON COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE N BECTON EDD LPC (CHIEF OPERATING OFFICER)
(267) 934-0557
Entity
Organization
Contact information
Practice address
5244 LEBANON AVE, PHILADELPHIA, PA 19131-2307
(267) 934-0557
Mailing address
1022 N 46TH ST, PHILADELPHIA, PA 19131-4614
(267) 934-0557
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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