Organization
PHILHAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVERN YUTZY (CEO)
(800) 932-0359
Entity
Organization
Contact information
Practice address
283 S BUTLER ROAD, MT GRETNA, PA 17064
(800) 932-0359
Mailing address
283 S BUTLER ROAD, MT GRETNA, PA 17064
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007720000088
—
PA
Enumeration date
04/16/2007
Last updated
08/22/2020
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