MEDICARE: ABH HUMAN SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1114611571
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABH HUMAN SERVICES

Provider Business Mailing Address
First Line	:	151 N YEWDALL ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-2542
Country	:	US
Telephone Number	:	267-405-3778
Fax Number	:

Provider Business Practice Location Address
First Line	:	713 W MOSS MILL RD
Second Line	:
City	:	EGG HARBOR CITY
State	:	NJ
Zip	:	08215-3313
Country	:	US
Telephone Number	:	267-405-3778
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MS. KAI A GRAY
Credential	:
Telephone Number	:	267-405-3778

Provider Enumeration Date	:	06/07/2023
Last Update Date	:	06/07/2023

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