Organization · Type 2 NPI

Merakey Pennsylvania

Mental Illness Community Based Residential Treatment Facility · St. Thomas, PA

NPI number 1902029754 Active

Practice location

5126 Jack Rd
St. Thomas, PA 17252-9682

Call (215) 836-3131 Map

Fax (215) 273-5975

Mailing address

4391 Sturbridge Dr
Harrisburg, PA 17110-3673

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

NPI record

NPI: 1902029754
Entity type: Organization (Type 2)
Issued: Apr 10, 2007
Last updated: Jun 16, 2018
Status: Active

Other names

<unavail>
NHS Pennsylvania · former legal business name
NHS Pennsylvania · former legal business name
Northwestern Human Services of Pennsylvania · former legal business name

Authorized official

Mr. Norman E Tilson
Corp Sr. Director of Business Ops
(215) 836-3131

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1902029754

Merakey Pennsylvania's National Provider Identifier is 1902029754, issued on Apr 10, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in St. Thomas, PA. The record was last updated on Jun 16, 2018.