Healthcare Provider Details

I. General information

NPI: 1518343938
Provider Name (Legal Business Name): TEM CARE BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2015
Last Update Date: 08/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 COURT ST SUITE 304B
READING PA
19601-3924
US

IV. Provider business mailing address

9 ILLINOIS AVE
SINKING SPRING PA
19608-9364
US

V. Phone/Fax

Practice location:
  • Phone: 610-750-9436
  • Fax:
Mailing address:
  • Phone: 484-269-2997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: NICHOLAS JOHNSON
Title or Position: PRESIDENT
Credential:
Phone: 484-269-2997