Provider Demographics
NPI:1720301567
Name:NIGHTINGALE FOUNDATION FOR BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:NIGHTINGALE FOUNDATION FOR BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZEO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:267-218-2601
Mailing Address - Street 1:347 NEW ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1738
Mailing Address - Country:US
Mailing Address - Phone:267-218-2601
Mailing Address - Fax:215-538-3933
Practice Address - Street 1:704 E MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3069
Practice Address - Country:US
Practice Address - Phone:267-218-2601
Practice Address - Fax:215-538-3933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health