Healthcare Provider Details

I. General information

NPI: 1306117015
Provider Name (Legal Business Name): ACHIEVING BETTER CONTROL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2012
Last Update Date: 01/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 N BETHLEHEM PIKE STE 300
LOWER GWYNEDD PA
19002-2655
US

IV. Provider business mailing address

29 GREYTHORNE WOODS CIR
WAYNE PA
19087-4758
US

V. Phone/Fax

Practice location:
  • Phone: 215-283-2833
  • Fax: 215-283-1919
Mailing address:
  • Phone: 610-659-1756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberRN301248L
License Number StatePA

VII. Legacy identifiers

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

VIII. Authorized Official

Name: MR. JIM LETTS
Title or Position: VP OF INFORMATION SYSTEMS
Credential:
Phone: 215-283-2833