Organization
NEW VITAE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN MUTH BA (DIRECTOR, PROJECT MANAGEMENT)
(610) 965-9021
Entity
Organization
Contact information
Practice address
16 S MAIN ST, QUAKERTOWN, PA 18951-1118
(215) 538-3403
(215) 538-3402
Mailing address
16 S. MAIN ST., QUAKERTOWN, PA 18951
(215) 538-3403
(215) 538-3402
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
109760
PA
251S00000X
Community/Behavioral Health Agency
Primary
109760
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007458450012
—
PA
Enumeration date
01/04/2007
Last updated
01/23/2019
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