Provider Demographics
NPI:1790224574
Name:HEALING ADULTS & ADOLESCENTS RESIDENTIAL TREATMENT PROGRAM LLC
Entity Type:Organization
Organization Name:HEALING ADULTS & ADOLESCENTS RESIDENTIAL TREATMENT PROGRAM LLC
Other - Org Name:HAART PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HERBERT
Authorized Official - Suffix:
Authorized Official - Credentials:CSP
Authorized Official - Phone:215-668-1849
Mailing Address - Street 1:3560 WRANGLE HILL RD
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-1843
Mailing Address - Country:US
Mailing Address - Phone:302-836-4000
Mailing Address - Fax:302-836-3222
Practice Address - Street 1:3560 WRANGLE HILL RD
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-1843
Practice Address - Country:US
Practice Address - Phone:302-836-4000
Practice Address - Fax:302-836-3222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-14
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)