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Organization
WIVES SELF HELP FOUNDATION, INC
Active
Organization
WIVES SELF HELP FOUNDATION, INC
Active
Other names
couseling and therapy assoc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL SAHL (ADMINSTRATIVE DIRECTOR)
(215) 332-1914
Entity
Organization
Contact information
Practice address
8001 ROOSEVELT BLVD, 205-207, PHILADELPHIA, PA 19152-3038
(215) 332-1914
(215) 332-1873
Mailing address
8001 ROOSEVELT BLVD, 205-207, PHILADELPHIA, PA 19152-3038
(215) 332-1914
(215) 332-1873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
130640
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0727023000
MAGELLAN ID
PA
01
—
514223
BC/BS ID
PA
01
—
5356319
AETNA ID
PA
Enumeration date
09/05/2006
Last updated
08/22/2020
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