Organization
AVIVA MENTAL HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSMARIA CHARLES MHS (DIRECTOR)
(610) 522-4506
Entity
Organization
Contact information
Practice address
14-20 MACDADE BLVD STE A, COLLINGDALE, PA 19023-1822
(267) 745-5772
Mailing address
14-20 MACDADE BLVD STE A, COLLINGDALE, PA 19023-1822
(267) 745-5772
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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