Organization
MERAKEY ALLOS
Active
Other names
Merakey Adult Older Adult (AOA) FSP Team Lompoc, NHS Midatlantic Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN TILSON JR. (CORP SR. DIRECTOR OF BUSINESS OPS)
(215) 836-3131
Entity
Organization
Contact information
Practice address
1025 E OCEAN AVE STE BCD, LOMPOC, CA 93436-7088
(215) 836-3131
(215) 836-1802
Mailing address
620 GERMANTOWN PIKE, LAFAYETTE HILL, PA 19444-1810
(215) 836-3131
(215) 273-5975
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/16/2014
Last updated
01/25/2024
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