| Eating Disorder Center Of Pennsylvania | |
|
789 E Lancaster Ave Ste 130 Villanova PA 19085-1521 | |
| (610) 581-8820 | |
| Not Available |
| Full Name | Eating Disorder Center Of Pennsylvania |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 789 E Lancaster Ave Ste 130, Villanova, Pennsylvania |
| Authorized Official Name and Position | Mike Bagley (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3056631876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eating Disorder Center Of Pennsylvania 6100 Sw 76th St South Miami FL 33143-5002 Ph: (305) 663-1876 | Eating Disorder Center Of Pennsylvania 789 E Lancaster Ave Ste 130 Villanova PA 19085-1521 Ph: (610) 581-8820 |
| NPI Number | 1467806539 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467806539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Cmc Of Pa Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 795 E Lancaster Ave Ste 250, Villanova, PA 19085 Phone: 215-254-6000 Fax: 215-754-1705 | |
Complete Mind Care Of Pa, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 795 E Lancaster Ave Ste 210, Villanova, PA 19085 Phone: 215-461-5760 Fax: 215-754-1705 | |
Suburban Psychological Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 210 Tower Rd, Villanova, PA 19085 Phone: 610-520-0443 Fax: 315-285-1598 |