# THA CHILDREN'S HOSPITAL OF PHILADELPHIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144479635
- **Authorized official:** DR. TAMI BENTON MD (MEDICAL DIRECTOR/ CHILD AND ADOLESC)
- **Authorized official phone:** (215) 590-7530

## Contact information

- **Practice address:** 3440 MARKET ST, BEHAVIORAL HEALTH CENTER, SUITE 200, PHILADELPHIA, PA 19104-3325
- **Practice address phone:** (215) 590-7431
- **Practice address fax:** (215) 590-5052
- **Mailing address:** 3440 MARKET ST, BEHAVIORAL HEALTH CENTER, SUITE 200, PHILADELPHIA, PA 19104-3325
- **Mailing address phone:** (215) 590-7431
- **Mailing address fax:** (215) 590-5052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC2000X | Children's Hospital | SP005551B | PA | Yes |

## Other

- **Enumeration date:** 09/09/2008
- **Last updated:** 09/09/2008