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Organization
PETTAWAY PURSUIT FOUNDATION
Active
Organization
PETTAWAY PURSUIT FOUNDATION
Active
Other names
PPF
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA PETTAWAY (EXECUTIVE DIRECTOR)
(610) 553-5481
Entity
Organization
Contact information
Practice address
7408 W CHESTER PIKE, UPPER DARBY, PA 19082-2006
(610) 553-5481
(610) 553-5482
Mailing address
624 MASON AVE, DREXEL HILL, PA 19026-2430
(610) 553-5481
(610) 553-5482
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251E00000X
Home Health Agency
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
06/25/2025
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