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Organization
MAZZONI CENTER
Active
Organization
MAZZONI CENTER
Active
Other names
PCHA
Organization subpart
No
Provider details
NPI number
Authorized official
ALECIA MANLEY (COO)
(215) 563-0652
Entity
Organization
Contact information
Practice address
1348 BAINBRIDGE ST, PHILADELPHIA, PA 19147-1810
(215) 563-0652
(215) 563-0664
Mailing address
1348 BAINBRIDGE ST, PHILADELPHIA, PA 19147-1810
(215) 563-0652
(215) 563-0664
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
807382
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007555740014
—
PA
Enumeration date
11/01/2006
Last updated
09/05/2023
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