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Organization
PURPLE HOUSE PROJECT PA INC.
Active
Organization
PURPLE HOUSE PROJECT PA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE J BRUNSON LSW (EXECUTIVE DIRECTOR)
(267) 332-6141
Entity
Organization
Contact information
Practice address
2532 N BROAD ST, PHILADELPHIA, PA 19132-4013
(480) 754-9564
Mailing address
114 STALEY AVE, COLLINGDALE, PA 19023-1917
(267) 332-6141
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
Primary
—
NULL
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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