PENNSYLVANIA CALYX RECOVERY PROFESSIONAL SERVICES LLC


Address: 49 E Lancaster Ave Ste 100, Malvern, PA 19355-3002
Phone: 4843241073

PENNSYLVANIA CALYX RECOVERY PROFESSIONAL SERVICES LLC (NPI# 1700382009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700382009
Entity Type Organization
Organization Name PENNSYLVANIA CALYX RECOVERY PROFESSIONAL SERVICES LLC
Practice Address 49 E Lancaster Ave Ste 100
Malvern
PA 19355-3002
Mailing Address 49 E Lancaster Ave Ste 210
Malvern
PA 19355-3002
Practice Telephone 4843241073
Practice Fax Number 4843241074
Mailing Telephone 4843241073
Mailing Fax Number 4843241074
Enumeration Date 2018-04-04
Last Update Date 2018-04-04
Authorized Official Name NANCY R BAILEY (CLINIC DIRECTOR)
Authorized Official Telephone 4843241073
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
PA Ambulatory Health Care Facilities

Office Location

Street Address 49 E LANCASTER AVE STE 100
City MALVERN
State PA
Zip Code 19355-3002

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1386020030 Laura Ann Treston Physical Therapy Assistant 60 Malvern Ave., Malvern, PA 19355 2015-08-05
1003217191 Hillary Schmid Behavioral Analyst 28 Clover Lane, Malvern, PA 19355 2014-09-09
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1952712085 Rachael Joseph Community/Behavioral Health 45 Kelmar Avenue, Malvern, PA 19355 2014-05-12
1487081808 Ronia Arabatlian Social Worker 1 North Bacton Rd, 107, Malvern, PA 19355 2013-09-30
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1528699931 Caron Outpatient Services, LLC Clinic/Center 401 Plymouth Rd Ste 325, Plymouth Meeting, PA 19462-1650 2020-02-04
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1518517283 Peace Valley Recovery Clinic/Center 5230 York Rd, Doylestown, PA 18902-1736 2019-09-16
1841853256 Trinity Recovery LLP Clinic/Center 1311 E State St, Sharon, PA 16146-3246 2019-04-22
1861950909 Advanced Treatment Centers LLC Clinic/Center 60 Abele Rd Ste 1103, Bridgeville, PA 15017-3467 2019-03-07
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Competitor

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City MALVERN
Zip Code 19355

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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