Organization Active NPI

Behavioral Wellness and Recovery of Pennsylvania LLC

  • Substance Abuse Rehabilitation Facility
  • West Chester, PA
National Provider Identifier
1104200500
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
157066 Issued in PA
Legal business name
BEHAVIORAL WELLNESS AND RECOVERY OF PENNSYLVANIA LLC
Practice address
704 W Nields St
#9
West Chester, PA 19382-4102
Phone
(484) 452-3650
Fax
(484) 631-0500
NPI assigned
Jul 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Authorized official

Name
Dr. George Chu, PH.D.
Title
Cfo
Phone
(215) 260-7026

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 157066 PA
Substance Abuse Rehabilitation Facility 324500000X 157066 PA Primary

Addresses

Primary practice location

704 W Nields St
#9
West Chester, PA 19382-4102

Mailing address

704 W Nields St
#9
West Chester, PA 19382-4102
Phone (484) 452-3650

National Provider Directory

National Provider Directory

Locations

704 W Nields St
Unit 9
West Chester, PA 19382
Phone (484) 452-3650

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1104200500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 W NIELDS ST",
            "address_2": "#9",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824102",
            "telephone_number": "484-452-3650",
            "fax_number": "484-631-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 W NIELDS ST",
            "address_2": "#9",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824102",
            "telephone_number": "484-452-3650",
            "fax_number": "484-631-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL WELLNESS AND RECOVERY OF PENNSYLVANIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-260-7026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "157066",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "157066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; 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.