Healthcare Provider Details

I. General information

NPI: 1881372555
Provider Name (Legal Business Name): ABH PENNSYLVANIA CHILDRENS SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 12/24/2024
Certification Date: 12/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 SUGARTOWN RD
MALVERN PA
19355-3303
US

IV. Provider business mailing address

655 SUGARTOWN RD
MALVERN PA
19355-3303
US

V. Phone/Fax

Practice location:
  • Phone: 610-296-6820
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA HILLIS-CLARK
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 610-329-2103