Organization
PHILHAVEN
Active
Organization
PHILHAVEN
Active
Other names
WellSpan Philhaven Private Psychiatric Hospital, WellSpan Philhaven, WellSpan Philhaven Inpatient Psychiatric Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MANTHA KOTSALOS (VP & PRESIDENT PHILHAVEN)
(717) 270-2423
Entity
Organization
Contact information
Practice address
283 S BUTLER RD, LEBANON, PA 17042-8939
(800) 932-0359
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100772000-0175
—
PA
05
—
1007720000016
—
PA
05
—
1007720000121
—
PA
05
—
1007720000174
—
PA
01
—
318550
CERTIFICATE OF COMPLIANCE LICENSE NUMBER
PA
Enumeration date
09/14/2005
Last updated
06/12/2026
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