Healthcare Provider Details

I. General information

NPI: 1093282345
Provider Name (Legal Business Name): SILVER LININGS USA LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2018
Last Update Date: 10/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1262 WOOD LN STE 102
LANGHORNE PA
19047-4250
US

IV. Provider business mailing address

1262 WOOD LN STE 102
LANGHORNE PA
19047-4250
US

V. Phone/Fax

Practice location:
  • Phone: 856-465-7310
  • Fax:
Mailing address:
  • Phone: 856-465-7310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. DON M COLAMESTA
Title or Position: CEO-MANAGING PARTNER
Credential:
Phone: 856-465-7310