Organization
PAC FAMILY BASED SERVICES
Active
Parent organization
PREVENTATIVE AFTERCARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREVENTATIVE AFTERCARE, INC.
Authorized official
MR. NATHAN M. GRESSEL MSW, MBA (CHIEF EXECUTIVE OFFICER)
(724) 458-9330
Entity
Organization
Contact information
Practice address
1250 GERMANTOWN PIKE STE 200, PLYMOUTH MEETING, PA 19462-2444
(267) 644-8448
Mailing address
P.O. BOX 1333, 3900 SKIPPACK PIKE, SUITE C-2, SKIPPACK, PA 19474
(267) 257-6804
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024789290002
—
PA
Enumeration date
03/09/2010
Last updated
10/31/2022
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