| NPI | 1750581609 |
|---|---|
| Doing Business As | COVE FORGE BEHAVIORAL HEALTH SYSTEMS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH PROCOPIO Chief Operating Officer 800-255-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: PA 077009) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 077009) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PA 077009) | |
| 261Q00000X Clinic/Center (Licence: PA 077009) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: PA 077009) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: PA 077009) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 077009) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 077009) | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: PA 077009) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2010-07-16 |