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NPI Code Detail

MEDICARE: SALISBURY BEHAVIORAL HEALTH, LLC.

MEDICARE: SALISBURY BEHAVIORAL HEALTH, LLC.
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538127535
Entity Type Code : Organization
Provider Name (Legal Business Name) : SALISBURY BEHAVIORAL HEALTH, LLC.
Provider Business Mailing Address
First Line : 211 PERIMETER CENTER PKWY NE STE 750
Second Line :
City : ATLANTA
State : GA
Zip : 30346-1318
Country : US
Telephone Number : 770-630-7290
Fax Number :
Provider Business Practice Location Address
First Line : 614 N EASTON RD
Second Line :
City : GLENSIDE
State : PA
Zip : 19038-4301
Country : US
Telephone Number : 215-884-5566
Fax Number : 215-885-3165
Authorized Official
Title or Position : SVP FINANCIAL SERVICES
Name : JENNIFER LOZANO
Credential :
Telephone Number : 770-630-7290
Provider Enumeration Date : 05/02/2006
Last Update Date : 10/18/2024

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