Organization
AVIVA MENTAL HEALTH SERVICES
Active
Organization
AVIVA MENTAL HEALTH SERVICES
Active
Other names
Aviva Mental Health Services Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSMARIA CHARLES MHS;CPSS (CLINICAL DIRECTOR)
(610) 522-4506
Entity
Organization
Contact information
Practice address
320 MACDADE BLVD, COLLINGDALE, PA 19023-1927
(610) 522-4506
(610) 522-4508
Mailing address
PO BOX 102, UPPER DARBY, PA 19082-0102
(610) 522-4506
(610) 522-4508
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
237103
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
823017837
—
PA
Enumeration date
06/26/2018
Last updated
06/26/2018
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