Provider Demographics
NPI:1437427283
Name:WES HEALTH SYSTEMS
Entity Type:Organization
Organization Name:WES HEALTH SYSTEMS
Other - Org Name:COMMUNITY BEHAVIORAL HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF ASSESSMENT AND EVALUATI
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:VON ZUBEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:215-465-2626
Mailing Address - Street 1:2514 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19132-4013
Mailing Address - Country:US
Mailing Address - Phone:215-456-2626
Mailing Address - Fax:215-754-0213
Practice Address - Street 1:2514 NORTH BROAD STREET
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-0143
Practice Address - Country:US
Practice Address - Phone:215-456-2626
Practice Address - Fax:215-754-0213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251 S00000X251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health