Healthcare Provider Details

I. General information

NPI: 1619379211
Provider Name (Legal Business Name): ADVANCED BEHAVIORAL HEALTH TREATMENT CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2014
Last Update Date: 09/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

542 N LEWIS RD
LIMERICK PA
19468-3521
US

IV. Provider business mailing address

542 N LEWIS RD
LIMERICK PA
19468-3521
US

V. Phone/Fax

Practice location:
  • Phone: 610-275-0345
  • Fax: 610-275-0346
Mailing address:
  • Phone: 610-275-0345
  • Fax: 610-275-0346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MUHAMMAD NADEEM SHAMSI
Title or Position: PRESIDENT
Credential: MD
Phone: 610-275-0345