Organization
EATING DISORDERS TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE ROLON (INSURANCE LIAISON)
(856) 810-0100
Entity
Organization
Contact information
Practice address
1200 BUSTLETON PIKE, SUITE 11, FEASTERVILLE TREVOSE, PA 19053-4118
(215) 364-7800
Mailing address
1200 BUSTLETON PIKE, SUITE 11, FEASTERVILLE TREVOSE, PA 19053-4118
(215) 364-7800
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
125680
PA
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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