Provider Demographics
NPI:1629214994
Name:YAPA APARTMENT LIVING PROGRAM, INC.
Entity Type:Organization
Organization Name:YAPA APARTMENT LIVING PROGRAM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.F.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:LORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-997-9959
Mailing Address - Street 1:1 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-2226
Mailing Address - Country:US
Mailing Address - Phone:215-997-9959
Mailing Address - Fax:215-997-1550
Practice Address - Street 1:5003 UMBRIA ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-4301
Practice Address - Country:US
Practice Address - Phone:215-997-9959
Practice Address - Fax:215-997-1550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA198890251S00000X, 320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007295830027Medicaid