Organization
PENNDEL MENTAL HEALTH CENTER, INC.
Active
Organization
PENNDEL MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN M GRAFF M.ED. (EXECUTIVE DIRECTOR)
(267) 587-2300
Entity
Organization
Contact information
Practice address
1517 DURHAM RD, PENNDEL, PA 19047-5707
(215) 752-1541
(215) 752-2848
Mailing address
1723 WOODBOURNE RD, SUITE A110, LEVITTOWN, PA 19057-1510
(267) 587-2300
(267) 587-2305
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
123890
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001996
—
PA
Enumeration date
03/12/2007
Last updated
06/02/2008
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