Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Psychiatric Hospital |
283Q00000X | A0[7] | Hospital-Psychiatric (PPS excluded) |
| NPI # | 1528283678 |
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| LBN Legal business name | PHILHAVEN | ||||
| Authorized official | PHILLIP HESS - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/16/2007 | ||||
| Last updated | 07/27/2018 - About 8 years ago | ||||
| Identifiers |
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