Organization
PROSPECT DCMH, LLC
Active
Other names
D&A Outpatient and Intensive OP Supplemental
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JON ELDERS (SECRETARY)
(714) 788-1249
Entity
Organization
Contact information
Practice address
501 N LANSDOWNE AVE, DREXEL HILL, PA 19026-1114
(610) 284-8100
Mailing address
501 N LANSDOWNE AVE, DREXEL HILL, PA 19026-1114
(610) 284-8100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
01/11/2021
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