| St. Mary's Villa For Children And Families | |
|
701 S Bethlehem Pike Ambler PA 19002-5818 | |
| (215) 643-7676 | |
| (215) 643-9029 |
| Full Name | St. Mary's Villa For Children And Families |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 701 S Bethlehem Pike, Ambler, Pennsylvania |
| Authorized Official Name and Position | Rita Fanning (PRESIDENT/CEO) |
| Authorized Official Contact | 2156437676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Mary's Villa For Children And Families 701 S Bethlehem Pike Po Box 388 Ambler PA 19002-5818 Ph: (215) 643-7676 | St. Mary's Villa For Children And Families 701 S Bethlehem Pike Ambler PA 19002-5818 Ph: (215) 643-7676 |
| NPI Number | 1407981848 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 12/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407981848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Secondary |
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