Organization
LENAPE VALLEY FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN J HARTL (EXECUTIVE DIRECTOR)
(267) 893-5285
Entity
Organization
Contact information
Practice address
501 BATH RD, BRISTOL, PA 19007-3101
(215) 785-9444
(215) 785-3662
Mailing address
500 N WEST ST, DOYLESTOWN, PA 18901-2366
(215) 345-5300
(267) 893-5100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100772252
—
PA
01
—
267090000
MAGELLAN BEHAVIORAL HEALT
PA
Enumeration date
04/12/2007
Last updated
05/29/2008
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