Provider Demographics
NPI:1508179292
Name:BUILDING TO LIFE
Entity Type:Organization
Organization Name:BUILDING TO LIFE
Other - Org Name:CASE MANAGEMENT SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:BS HUMAN SERVICES
Authorized Official - Phone:215-500-9425
Mailing Address - Street 1:7419 BARCLAY RD
Mailing Address - Street 2:
Mailing Address - City:CHELTENHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19012-1302
Mailing Address - Country:US
Mailing Address - Phone:215-500-9425
Mailing Address - Fax:
Practice Address - Street 1:4728 OXFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-5835
Practice Address - Country:US
Practice Address - Phone:215-500-9425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health