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600 Louis Dr Suite 207 Warminster PA 18974-2844 | |
| (215) 836-3131 | |
| (215) 273-5975 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 600 Louis Dr, Warminster, Pennsylvania |
| Authorized Official Name and Position | Norman E Tilson (CORP SR. DIRECTOR OF BUSINESS OPS) |
| Authorized Official Contact | 2158363131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
620 Germantown Pike Lafayette Hill PA 19444-1810 Ph: (215) 836-3131 | 600 Louis Dr Suite 207 Warminster PA 18974-2844 Ph: (215) 836-3131 |
| NPI Number | 1750403085 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750403085 | NPI | - | NPPES |
| 1000032750018 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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