Provider Demographics
NPI:1124213129
Name:GETWELL BEHAVIORAL HEALTHCARE INC
Entity Type:Organization
Organization Name:GETWELL BEHAVIORAL HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAYODE
Authorized Official - Middle Name:OMOSHOLA
Authorized Official - Last Name:ADUNBARIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-437-7478
Mailing Address - Street 1:130 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3974
Mailing Address - Country:US
Mailing Address - Phone:856-235-2337
Mailing Address - Fax:856-235-2337
Practice Address - Street 1:2227 E VENANGO ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-2739
Practice Address - Country:US
Practice Address - Phone:215-437-7478
Practice Address - Fax:856-235-2337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD429515251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health