Organization
MERAKEY PENNSYLVANIA
Active
Other names
NHS Pennsylvania, Northwestern Human Services of Pennsylvania
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN E TILSON JR. (CORP SR. DIRECTOR OF BUSINESS OPS)
(215) 836-3131
Entity
Organization
Contact information
Practice address
5126 JACK RD, SAINT THOMAS, PA 17252-9682
(215) 836-3131
(215) 273-5975
Mailing address
4391 STURBRIDGE DR, HARRISBURG, PA 17110-3673
(215) 836-3131
(215) 273-5975
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000017440189
—
PA
Enumeration date
04/10/2007
Last updated
06/16/2018
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