Organization
THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Active
Parent organization
THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Other names
Return
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Authorized official
MR. XAVIER BANCROFT (PRESIDENT & CEO)
(215) 787-9001
Entity
Organization
Contact information
Practice address
801 W GIRARD AVE, PHILADELPHIA, PA 19122-4212
(215) 787-2387
Mailing address
801 W GIRARD AVE, ATTN BUSINESS OFFICE, PHILADELPHIA, PA 19122-4212
(215) 787-2387
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007276960105
—
PA
05
—
1007276960128
—
PA
Enumeration date
07/24/2007
Last updated
08/01/2025
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