Whalio Doctors

NPI 1619414232

Freedom Behavioral Healthcare

Organisation Exclusive Provider Organization Trevose, PA

Practice location

Address
4612 E Street Rd, Trevose, PA 19053-6612
Phone
(267) 699-3000
Mailing address
1000 Germantown Pike Bldg G-5, Plymouth Meeting, PA 19462-2480

Authorised official

Name
Cesar Fabiani
Title
Suboxone Maintenance Doctor
Phone
(126) 769-9300

Registered specialties

Exclusive Provider Organization Primary
Managed Care Organizations Taxonomy 302F00000X

Registry record

NPI
1619414232
Entity type
Organization
NPI issued
20 Jan 2017
Record last updated
20 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.