Organization Name: | SENIOR CARE BEHAVIORAL NETWORK LLC |
NPI Number: | 1972831766 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES MARTIN SCHAIRER (SOLE MEMBER) |
Mailing Address: | 2058 Maple Ave Apt J1-12 Hatfield |
State: | PA US |
Postal Code: | 194401583 |
Phone Number: | 2672101170 |
Fax Number: | 8002341627 |
NPI Enumeration Date: | 12/07/2009 |
NPI Last Update Date: | 12/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |