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Organization
THE CENTER FOR AUTISM
Active
Organization
THE CENTER FOR AUTISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS BONGARD (TRAINING SPECIALIST)
(215) 220-2132
Entity
Organization
Contact information
Practice address
3905 FORD RD STE 6, PHILADELPHIA, PA 19131-2824
(215) 878-3400
Mailing address
3905 FORD RD STE 6, PHILADELPHIA, PA 19131-2824
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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