National Provider Identifier Database

PHILHAVEN
Mental Health (Including Community Mental Health Center)


Contact Information

PHILHAVEN
283 S BUTLER RD
MOUNT GRETNA, PA17064
Phone: 800-932-0359
Fax:
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Psychiatric Hospital 283Q00000X

* Indicates primary specialty

NPI Profile & details for PHILHAVEN

NPI Number 1528283678
Legal business name
LBN
PHILHAVEN
Authorized official PHILLIP HESS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/16/2007
Last updated 07/27/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 1007720000067

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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