Organization
MAIN LINE HOSPITALS, INC.
Active
Other names
American Day Treatment Center - Exton
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH EHRLICH (CHIEF FINANCIAL OFFICER)
(484) 337-2029
Entity
Organization
Contact information
Practice address
479 THOMAS JONES WAY, SUITE 800, EXTON, PA 19341-2580
(610) 560-8200
Mailing address
240 N RADNOR CHESTER RD, RADNOR, PA 19087-5170
(484) 337-1814
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
110260
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001107000
IBC - ADTC
—
01
—
001452
ADTC AETNA NON HMO
—
05
—
1007354280015
—
PA
01
—
390153
ADTC AMERIHEALTH
—
Enumeration date
02/26/2007
Last updated
09/12/2024
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