| Maureen Vita Llc | |
|
5 Great Valley Pkwy Malvern PA 19355-1426 | |
| (484) 686-1162 | |
| Not Available |
| Full Name | Maureen Vita Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5 Great Valley Pkwy, Malvern, Pennsylvania |
| Authorized Official Name and Position | Maureen Ellen Vita (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4846861162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maureen Vita Llc 5 Great Valley Pkwy Malvern PA 19355-1426 Ph: (484) 686-1162 | Maureen Vita Llc 5 Great Valley Pkwy Malvern PA 19355-1426 Ph: (484) 686-1162 |
| NPI Number | 1831567957 |
|---|---|
| Provider Enumeration Date | 09/05/2015 |
| Last Update Date | 09/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831567957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PC006899 (Pennsylvania) | Primary |
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