Provider Demographics
NPI:1487010385
Name:TREATMENT CENTERS OF LEHIGH VALLEY
Entity Type:Organization
Organization Name:TREATMENT CENTERS OF LEHIGH VALLEY
Other - Org Name:MALVERN INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:610-647-0330
Mailing Address - Street 1:124 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:CATASAUQUA
Mailing Address - State:PA
Mailing Address - Zip Code:18032-2505
Mailing Address - Country:US
Mailing Address - Phone:610-647-0330
Mailing Address - Fax:
Practice Address - Street 1:124 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:CATASAUQUA
Practice Address - State:PA
Practice Address - Zip Code:18032-2505
Practice Address - Country:US
Practice Address - Phone:610-647-0330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TREAMENT CENTERS OF LEHIGH VALLEY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-07
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility