Organization
THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Active
Organization
THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Active
Other names
GMC Out-Patient Psych, BWC Outpatient Psych
Organization subpart
No
Provider details
NPI number
Authorized official
MR. XAVIER BANCROFT (CEO)
(215) 787-9001
Entity
Organization
Contact information
Practice address
801 W GIRARD AVE, PHILADELPHIA, PA 19122-4212
(215) 787-2000
Mailing address
801 W GIRARD AVE, ATTN BUSINESS OFFICE, PHILADELPHIA, PA 19122-4212
(215) 787-2000
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007276960084
—
PA
Enumeration date
05/25/2007
Last updated
05/28/2026
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