OrganizationActive
Integrative Life Services
NPI 1699968677 · Substance Use Disorder Rehabilitation Clinic/Center · Havertown, PA
Provider details
- NPI number
- 1699968677
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Besden, Director(610) 789-6005
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2010 W Chester Pike
Suite 314
Havertown, PA 19083-2700
Phone: (610) 789-6005
Street-level locationGet directions
Mailing address
2010 W Chester Pike
Havertown, PA 19083-2700
Registry dates
- Enumerated
- 2007-08-22
- Last updated
- 2007-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.