Provider Demographics
NPI:1215631478
Name:SABET BEHAVIORAL AND RESPITE LLC
Entity type:Organization
Organization Name:SABET BEHAVIORAL AND RESPITE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KEREDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-883-5241
Mailing Address - Street 1:3803 ELAND DOWNE
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-1315
Mailing Address - Country:US
Mailing Address - Phone:484-883-5241
Mailing Address - Fax:
Practice Address - Street 1:3803 ELAND DOWNE
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-1315
Practice Address - Country:US
Practice Address - Phone:484-883-5241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health