| Maternal Chil Consortium, Inc | |
|
30 Harmony Rd Middletown Twp PA 19056-1829 | |
| (267) 525-7000 | |
| (267) 525-7010 |
| Full Name | Maternal Chil Consortium, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 30 Harmony Rd, Middletown Twp, Pennsylvania |
| Authorized Official Name and Position | Kenneth W. Brownell (CEO) |
| Authorized Official Contact | 2675257000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maternal Chil Consortium, Inc 800 Clarmont Ave Suite B Bensalem PA 19120-5705 Ph: (267) 525-7000 | Maternal Chil Consortium, Inc 30 Harmony Rd Middletown Twp PA 19056-1829 Ph: (267) 525-7000 |
| NPI Number | 1356605141 |
|---|---|
| Provider Enumeration Date | 06/27/2012 |
| Last Update Date | 06/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356605141 | NPI | - | NPPES |
| 1007762890003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 112720 (Pennsylvania) | Primary |
Maternal Child Consortium, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Forsythia Dr. South, Middletown Twp, PA 19056 Phone: 267-525-7000 Fax: 267-525-7010 |