| Warwick Family Based Program, Inc | |
|
7 Mystic Ln Malvern PA 19355-1942 | |
| (267) 525-7000 | |
| (267) 525-7010 |
| Full Name | Warwick Family Based Program, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7 Mystic Ln, Malvern, Pennsylvania |
| Authorized Official Name and Position | Kenneth W. Brownell (CEO) |
| Authorized Official Contact | 2675257000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Warwick Family Based Program, Inc 800 Clarmont Ave Suite B Bensalem PA 19020-5705 Ph: (267) 525-7000 | Warwick Family Based Program, Inc 7 Mystic Ln Malvern PA 19355-1942 Ph: (267) 525-7000 |
| NPI Number | 1558797597 |
|---|---|
| Provider Enumeration Date | 09/23/2013 |
| Last Update Date | 09/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558797597 | NPI | - | NPPES |
| 1016431890001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 105120 (Pennsylvania) | Primary |
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