Provider Demographics
NPI:1558101717
Name:PFP BEHAVIORAL HEALTH SERVICES
Entity type:Organization
Organization Name:PFP BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MERLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NONGNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-604-1569
Mailing Address - Street 1:501 CAMBRIA AVE STE 135
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-7213
Mailing Address - Country:US
Mailing Address - Phone:215-604-1569
Mailing Address - Fax:215-604-1568
Practice Address - Street 1:501 CAMBRIA AVE STE 135
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-7213
Practice Address - Country:US
Practice Address - Phone:215-604-1569
Practice Address - Fax:215-604-1568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-27
Last Update Date:2024-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health