Provider Demographics
NPI:1386766483
Name:HEDWIG HOUSE, INC.
Entity type:Organization
Organization Name:HEDWIG HOUSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BITTING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-279-4400
Mailing Address - Street 1:904 DEKALB ST
Mailing Address - Street 2:NORRISTOWN CLUBHOUSE
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3950
Mailing Address - Country:US
Mailing Address - Phone:610-279-4400
Mailing Address - Fax:610-279-1498
Practice Address - Street 1:904 DEKALB ST
Practice Address - Street 2:NORRISTOWN CLUBHOUSE
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3950
Practice Address - Country:US
Practice Address - Phone:610-279-4400
Practice Address - Fax:610-279-1498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001673480Medicaid