Healthcare Provider Details

I. General information

NPI: 1699820407
Provider Name (Legal Business Name): YAPA APARTMENT LIVING PROGRAM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 04/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2913 WINDMILL RD
SINKING SPRING PA
19608-1680
US

IV. Provider business mailing address

1 HIGHLAND DR
CHALFONT PA
18914-2252
US

V. Phone/Fax

Practice location:
  • Phone: 215-997-9959
  • Fax: 215-997-1550
Mailing address:
  • Phone: 215-997-9959
  • Fax: 215-997-1550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number198890
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number198890
License Number StatePA

VIII. Authorized Official

Name: MRS. JENNA COLWELL
Title or Position: BILLING MANAGER
Credential:
Phone: 215-997-9959