IndividualActive
Gerald Colley, PCHA
NPI 1295614824 · Physical Disabilities Residential Treatment Facility · Philadelphia, PA
Provider details
- NPI number
- 1295614824
- Entity type
- Individual
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Credential
- PCHA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Assistant Behavior Analyst106E00000X
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
- Home Health Agency251E00000X
Agencies
Residential Treatment Facilities
Practice location
800 Cottman Avenue
257 / B1
Philadelphia, PA 19111
Phone: (215) 954-0621
Approximate (ZIP-level) locationGet directions
Mailing address
800 Cottman Avenue
Philadelphia, PA 19111
Registry dates
- Enumerated
- 2025-08-28
- Last updated
- 2025-08-28
- Certified
- 2025-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.