# TCM ADOLESCENT INITIATIVE AND FAMILY CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHILDREN'S HOSPITAL OF PHILADELPHIA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1497119168
- **Legal business name:** CHILDREN'S HOSPITAL OF PHILADELPHIA
- **Authorized official:** FABIAN STONE (VP REVENUE CYCLE)
- **Authorized official phone:** (267) 425-5765

## Contact information

- **Practice address:** 3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
- **Practice address phone:** (215) 590-1000
- **Practice address fax:** (215) 590-0426
- **Mailing address:** 3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
- **Mailing address phone:** (215) 590-4308
- **Mailing address fax:** (215) 590-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | Yes |
| 104100000X | Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2016
- **Last updated:** 09/23/2026