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Bethanna
Emotionally Disturbed Childrens' Residential Treatment Facility in Southampton, Pennsylvania
NPI 1255407532

Bethanna is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Southampton, PA. Bethanna practices in Southampton, PA. The NPI Number for Bethanna is 1255407532 and holds a License No. 105330 (Pennsylvania).

The current practice location address for Bethanna is 1030 2Nd Street Pike, Southampton, PA and can be reached out via phone at 215-355-6500 and via fax at 215-355-8617.

Location: 1030 2Nd Street Pike, Southampton, PA, 18966-3955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255407532
Provider Name
Bethanna
Credential
Provider Entity Type
Organization
Address
1030 2Nd Street Pike, Southampton, PA, 18966-3955
Phone Number
215-355-6500
Fax Number
215-355-8617
Provider Enumeration Date
11/28/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007513410004 05 PA
institution
Provider Business Practice Location Address Details
Address
1030 2Nd Street Pike
City
Southampton
State
Pennsylvania
Zip
18966-3955
Phone Number
215-355-6500
Fax Number
215-355-8617
person
Provider Business Mailing Address Details
Address
1030 2Nd Street Pike
City
Southampton
State
Pennsylvania
Zip
18966-3955
Phone Number
215-355-6500
Fax Number
215-355-8617
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
105330 (Pennsylvania)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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