| Organization Name: | SENIOR BEHAVIORAL HEALTHCARE GROUP, INC |
| NPI Number: | 1013930221 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MANULYN CITRON (CLINICAL DIRECTOR) |
| Mailing Address: | 25 Llanfair Cir Ardmore |
| State: | PA US |
| Postal Code: | 190033342 |
| Phone Number: | 6106496769 |
| Fax Number: | 6196494190 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 06/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |