Organization Active NPI

The Behavioral Wellness Center at Girard

Doing business as Non-Hospital Detox & Rehab

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1073713343
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
THE BEHAVIORAL WELLNESS CENTER AT GIRARD
Doing business as
Non-Hospital Detox & Rehab
Practice address
801 W Girard Ave
Philadelphia, PA 19122-4212
Phone
(215) 787-9000
NPI assigned
Jul 24, 2007
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
THE BEHAVIORAL WELLNESS CENTER AT GIRARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Xavier Bancroft
Title
President & Ceo
Phone
(215) 787-9001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X

Addresses

Primary practice location

801 W Girard Ave
Philadelphia, PA 19122-4212

Mailing address

801 W Girard Ave
Attn Business Office
Philadelphia, PA 19122-4212
Phone (215) 787-2387

Other names 1

  • Non-Hospital Detox & Rehab Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://bewellctr.org

National Provider Directory

National Provider Directory
Tax ID family
The Behavioral Wellness17 organizations share this tax ID, including this one
Part of
The Behavioral Wellness

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1073713343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W GIRARD AVE",
            "address_2": "ATTN BUSINESS OFFICE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191224212",
            "telephone_number": "215-787-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191224212",
            "telephone_number": "215-787-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEHAVIORAL WELLNESS CENTER AT GIRARD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE BEHAVIORAL WELLNESS CENTER AT GIRARD",
        "enumeration_date": "2007-07-24",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "BANCROFT",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "215-787-9001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://bewellctr.org",
            "affiliation": "N",
            "address_1": "801 W Girard Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191224212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Non-Hospital Detox & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.