Organization
CENTRAL MONTGOMERY MENTAL HEALTH MENTAL RETARDATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LOVE (CHIEF FINANCIAL OFFICER)
(610) 277-4600
Entity
Organization
Contact information
Practice address
2500 MARYLAND RD, WILLOW GROVE, PA 19090-1216
(215) 830-8966
(215) 830-8971
Mailing address
1100 POWELL ST, NORRISTOWN, PA 19401-3820
(610) 277-4600
(610) 275-0216
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007279900057
—
PA
Enumeration date
04/12/2007
Last updated
10/06/2020
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