Organization Name: | BUILDING TO LIFE |
NPI Number: | 1629383633 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WALTER E DAVIS (PROGRAM DIRECTOR) |
Mailing Address: | 7419 Barclay Rd Cheltenham |
State: | PA US |
Postal Code: | 190121302 |
Phone Number: | 2152818458 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2010 |
NPI Last Update Date: | 08/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |