| NPI | 1083777239 |
|---|---|
| Other Name | MAIN LINE BEHAVIORAL HEALTH AFFILIATES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J BUONGIORNO Exec. VP & CFO 484-337-8481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103T00000X Psychologist | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA 237078) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA 151081) | |
| 103TC0700X Psychologist, Clinical | |
| 103TR0400X Psychologist, Rehabilitation | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2016-05-18 |