Vitalistic Therapeutic Center

LBN: Vitalistic Therapeutic Center
Vitalistic Therapeutic Center is an health care organization with primary practice located at 1406 W Hamilton St , Allentown PA 18102-4225. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Vitalistic Therapeutic Center can be contacted via phone (610) 433-4383, or through Grossman, Naomi via phone (610) 861-7570.

Contact Information

Primary practice address
1406 W Hamilton St Allentown PA 18102-4225
Fax:
Website:
Authorized official contact:
Name: Grossman, Naomi

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 232260 Pennsylvania

Profile Details

NPI number 1003965088
LBN Legal business name Vitalistic Therapeutic Center
DBA Doing business as
Authorized official Grossman, Naomi
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003965088 NPPES
Pennsylvania MEDICAID 01221740

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