| Organization Name: | MONTGOMERY COUNTY EMERGENCY SERVICE CRISIS RESIDENTIAL PROGRAM |
| NPI Number: | 1083744338 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROCIO E NELL (CEO MEDICAL DIRECTOR) |
| Mailing Address: | 1001 Sterigere St Building 45 Norristown |
| State: | PA US |
| Postal Code: | 19403 |
| Phone Number: | 6106312480 |
| Fax Number: | 6106312485 |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 320800000X |
| License Number: | 103720 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |