| NPI | 1164886354 |
|---|---|
| Doing Business As | RIVEREDGE OUTPATIENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | STEVE FILTON Sr VP/CFO 610-768-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: IL 0005124) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 0005124) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: IL 0005124) | |
| 103TC0700X Psychologist Clinical (Licence: IL 0005124) | |
| 103TC1900X Psychologist Counseling (Licence: IL 0005124) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: IL 0005124) | |
| 103TF0000X Psychologist Family (Licence: IL 0005124) | |
| 103TP0016X Psychologist Prescribing (Medical) (Licence: IL 0005124) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: IL 0005124) | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: IL 0005124) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IL 0005124) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: IL 0005154) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |