| Reading Behavior Health Center Inc | |
|
40 S 5th St Reading PA 19602-1016 | |
| (610) 374-4576 | |
| Not Available |
| Full Name | Reading Behavior Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 40 S 5th St, Reading, Pennsylvania |
| Authorized Official Name and Position | Lazaro Pepen (FIRST OFFICER) |
| Authorized Official Contact | 6103744576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reading Behavior Health Center Inc 40 S 5th St Reading PA 19602-1016 Ph: (610) 374-4576 | Reading Behavior Health Center Inc 40 S 5th St Reading PA 19602-1016 Ph: (610) 374-4576 |
| NPI Number | 1861645350 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 06/05/2019 |
| Medicare PECOS PAC ID | 6103159181 |
|---|---|
| Medicare Enrollment ID | O20190606000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861645350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MD062674L (Pennsylvania) | Primary |
| Provider Name | Lazaro Pepen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558532341 PECOS PAC ID: 0840391629 Enrollment ID: I20070724000153 |
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