Provider Demographics
NPI:1861645350
Name:READING BEHAVIOR HEALTH CENTER INC
Entity Type:Organization
Organization Name:READING BEHAVIOR HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRST OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LAZARO
Authorized Official - Middle Name:
Authorized Official - Last Name:PEPEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-374-4576
Mailing Address - Street 1:40 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19602-1016
Mailing Address - Country:US
Mailing Address - Phone:610-374-4576
Mailing Address - Fax:
Practice Address - Street 1:40 S 5TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602-1016
Practice Address - Country:US
Practice Address - Phone:610-374-4576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD062674L261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)