Healthcare Provider Details

I. General information

NPI: 1174747638
Provider Name (Legal Business Name): CENTRAL BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 10/06/2020
Certification Date: 10/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 DEKALB ST
NORRISTOWN PA
19401-3415
US

IV. Provider business mailing address

1100 POWELL ST
NORRISTOWN PA
19401-3820
US

V. Phone/Fax

Practice location:
  • Phone: 610-279-9270
  • Fax: 610-279-4146
Mailing address:
  • Phone: 610-277-4600
  • Fax: 610-275-0216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT LOVE
Title or Position: CHIEF FINANCIAL OFFICER
Credential: CPA
Phone: 610-277-4600