| Libertae, Inc. | |
|
5245 Bensalem Blvd Bensalem PA 19020-4076 | |
| (215) 639-8681 | |
| (215) 639-4277 |
| Full Name | Libertae, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5245 Bensalem Blvd, Bensalem, Pennsylvania |
| Authorized Official Name and Position | Connie Bastek Karasow (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2156398681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Libertae, Inc. 5245 Bensalem Blvd Bensalem PA 19020-4076 Ph: (215) 639-8681 | Libertae, Inc. 5245 Bensalem Blvd Bensalem PA 19020-4076 Ph: (215) 639-8681 |
| NPI Number | 1649497793 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 04/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649497793 | NPI | - | NPPES |
| 001627736 | Medicaid | PA | |
| 0016277360001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 093149 (Pennsylvania) | Primary |
| 251S00000X | Community/behavioral Health | 097074 (Pennsylvania) | Secondary |
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