Organization
ST. MARY'S VILLA FOR CHILDREN AND FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA FANNING M.S. (PRESIDENT/CEO)
(215) 643-7676
Entity
Organization
Contact information
Practice address
701 S BETHLEHEM PIKE, AMBLER, PA 19002-5818
(215) 643-7676
(215) 643-9029
Mailing address
701 S BETHLEHEM PIKE, PO BOX 388, AMBLER, PA 19002-5818
(215) 643-7676
(215) 643-9029
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
02/23/2007
Last updated
12/09/2008
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