Nueva Vida Mental Health Center in Philadelphia - Community/behavioral Health
Nueva Vida Mental Health Center - NPI 1417002320
Nueva Vida Mental Health Center is a Community/behavioral Health in Philadelphia, Pennsylvania. Nueva Vida Mental Health Center practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Nueva Vida Mental Health Center is 1417002320. The last update date is 2012-09-10.
Nueva Vida Mental Health Center's current location address is 618 W Lehigh Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2152298857 and fax number 2152290654. The mailing address for Nueva Vida Mental Health Center is 618 W Lehigh Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nueva Vida Mental Health Center |
|---|---|
| Address | 618 W Lehigh Ave, Philadelphia, Pennsylvania |
| Phone Number | 2152298857 |
| Fax Number | 2152290654 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Sholevar P Godrhat |
| Credentials | MD |
| Telephone Number | 2152290956 |
NPI Number Detail
| NPI Number | 1417002320 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2012-09-10 |
Provider Mailing Address Detail
| Address | 618 W Lehigh Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191332227 |
| Phone Number | 2152298857 |
| Fax Number | 2152290654 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16954870003 | PA | PROMISE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Nueva Vida Mental Health Center by the Centers for Medicare & Medicaid Services (CMS)?
The Nueva Vida Mental Health Center has been assigned the NPI (National Provider Identifier) 1417002320. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Nueva Vida Mental Health Center is located?
The Nueva Vida Mental Health Center is situated at the following address: 618 W Lehigh Ave, Philadelphia, PA, 191332227.
What is the area of specialization for Nueva Vida Mental Health Center, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Nueva Vida Mental Health Center is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of expertise is 251S00000X.
On what date was the 1417002320 assigned to Nueva Vida Mental Health Center?
The Nueva Vida Mental Health Center was issued its 1417002320 on 2007-01-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Nueva Vida Mental Health Center most recently updated?
The details pertaining to the Nueva Vida Mental Health Center, including its address, specialty, and other relevant information, were last refreshed on 2012-09-10.