Provider Demographics
NPI:1780640292
Name:ADVANCED BEHAVIORAL CARE INC
Entity Type:Organization
Organization Name:ADVANCED BEHAVIORAL CARE INC
Other - Org Name:SUBURBAN COUNSLEING & ASSESEMENT CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCHUGH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:610-565-1399
Mailing Address - Street 1:175 BELAIR RD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-3933
Mailing Address - Country:US
Mailing Address - Phone:215-442-5500
Mailing Address - Fax:215-442-1641
Practice Address - Street 1:1223 N PROVIDENCE RD
Practice Address - Street 2:STE 3
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063
Practice Address - Country:US
Practice Address - Phone:610-566-6835
Practice Address - Fax:610-565-0688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-24
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty