| Pac Family Based Services | |
|
1250 Germantown Pike Ste 200 Plymouth Meeting PA 19462-2444 | |
| (267) 644-8448 | |
| Not Available |
| Full Name | Pac Family Based Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1250 Germantown Pike Ste 200, Plymouth Meeting, Pennsylvania |
| Authorized Official Name and Position | Nathan M. Gressel (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7244589330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pac Family Based Services P.o. Box 1333 3900 Skippack Pike, Suite C-2 Skippack PA 19474 Ph: (267) 257-6804 | Pac Family Based Services 1250 Germantown Pike Ste 200 Plymouth Meeting PA 19462-2444 Ph: (267) 644-8448 |
| NPI Number | 1619290343 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 10/31/2022 |
| Certification Date | 10/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619290343 | NPI | - | NPPES |
| 1024789290002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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