Provider Demographics
NPI:1225204761
Name:COMMUNITY CENTERED TREATMENT INC
Entity Type:Organization
Organization Name:COMMUNITY CENTERED TREATMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MANNI
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:215-643-6830
Mailing Address - Street 1:809 N BETHLEHEM PIKE
Mailing Address - Street 2:P O BOX 129
Mailing Address - City:SPRING HOUSE
Mailing Address - State:PA
Mailing Address - Zip Code:19477-0129
Mailing Address - Country:US
Mailing Address - Phone:215-643-6830
Mailing Address - Fax:
Practice Address - Street 1:809 N BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-2534
Practice Address - Country:US
Practice Address - Phone:215-643-6830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS002401L251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health