Provider Demographics
NPI:1396203147
Name:ABOVE AND BEYOND TREATMENT SOLUTIONS
Entity Type:Organization
Organization Name:ABOVE AND BEYOND TREATMENT SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KAHREEM
Authorized Official - Middle Name:
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-783-6787
Mailing Address - Street 1:54 ROSS WAY
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-5572
Mailing Address - Country:US
Mailing Address - Phone:215-783-6787
Mailing Address - Fax:
Practice Address - Street 1:54 ROSS WAY
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-5572
Practice Address - Country:US
Practice Address - Phone:215-783-6787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-11
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health