| Organization Name: | AMBIA LLC |
| NPI Number: | 1073549697 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINA BLADEN (OFFICE MANAGER) |
| Mailing Address: | 1578 Old York Rd Abington |
| State: | PA US |
| Postal Code: | 190011709 |
| Phone Number: | 2158308460 |
| Fax Number: | 2158308464 |
| NPI Enumeration Date: | 06/24/2006 |
| NPI Last Update Date: | 07/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |