Organization
PENNDEL MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE MARSDEN (BUSINESS ANALYST)
(267) 587-2300
Entity
Organization
Contact information
Practice address
2005 CABOT BLVD, SUITE100, LANGHORNE, PA 19047-1898
(267) 587-2300
(267) 587-2368
Mailing address
2005 CABOT BLVD, SUITE100, LANGHORNE, PA 19047-1898
(267) 587-2300
(267) 587-2368
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001996
—
PA
Enumeration date
05/12/2011
Last updated
05/12/2011
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