Organization
BETHANNA
Active
Other names
Bethanna Bible and Missionary Center
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE MARIE NIX LSW (DIRECTOR OF QA & COMP)
(267) 566-9041
Entity
Organization
Contact information
Practice address
2500 WHARTON ST, PHILADELPHIA, PA 19146-3942
(215) 355-6500
Mailing address
1030 SECOND STREET PIKE, SOUTHAMPTON, PA 18966-3955
(215) 355-6500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146840
—
PA
Enumeration date
01/21/2021
Last updated
01/21/2021
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