HAVEN BEHAVIORAL SERVICES OF PHILADELPHIA LLC NPI 1912341629

NPI Information

HAVEN BEHAVIORAL SERVICES OF PHILADELPHIA, LLC is a psychiatric hospital in Philadelphia, PA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. HAVEN BEHAVIORAL SERVICES OF PHILADELPHIA, LLC NPI is 1912341629. The provider is registered as an organization entity type.
The provider Is Doing Business As Haven Behavioral Hospital Of Philadelphia.

The provider's business location address is:

3300 HENRY AVE
UNIT 4
PHILADELPHIA, PA
ZIP 19129-121
Phone: (615) 250-9500
Fax: (615) 250-9515

The provider's authorized official is Janie R Pickle .
The authorized official title is Vp/treasurer and has the following contact phone number (615) 393-8809.

The CLIA number assigned to this NPI record is 39D2065897 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2013 and was last updated on 6/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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