| Embark At Main Line | |
|
1031 Old Cassatt Rd Berwyn PA 19312-1152 | |
| (570) 527-4785 | |
| Not Available |
| Full Name | Embark At Main Line |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1031 Old Cassatt Rd, Berwyn, Pennsylvania |
| Authorized Official Name and Position | Laurie Brown (VP OF REVENUE CYCLE MANAGEMENT) |
| Authorized Official Contact | 6618294060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embark At Main Line 5500 Ming Ave Ste 410 Bakersfield CA 93309-4631 Ph: (661) 622-4132 | Embark At Main Line 1031 Old Cassatt Rd Berwyn PA 19312-1152 Ph: (570) 527-4785 |
| NPI Number | 1164025730 |
|---|---|
| Provider Enumeration Date | 11/17/2020 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164025730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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