Organization
ENCEPHALON'S OASIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN MICHAEL TIERNEY (PRESIDENT & FOUNDER)
(570) 657-8748
Entity
Organization
Contact information
Practice address
2153 ELM AVE, WARRINGTON, PA 18976-2301
(267) 317-7760
Mailing address
2153 ELM AVE, WARRINGTON, PA 18976-2301
(267) 317-7760
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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