Organization
THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Active
Parent organization
THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Other names
RTFA Dual Dx
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Authorized official
MR. XAVIER BANCROFT (PRESIDENT & CEO)
(215) 787-9001
Entity
Organization
Contact information
Practice address
801 W GIRARD AVE, PHILADELPHIA, PA 19122
(215) 787-2387
Mailing address
801 W GIRARD AVE, ATTN BUSINESS OFFICE, PHILADELPHIA, PA 19122-4212
(215) 787-2387
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
100920
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007276960113
—
PA
Enumeration date
07/24/2007
Last updated
08/01/2025
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