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Organization
DREXEL UNIVERSITY
Active
Organization
DREXEL UNIVERSITY
Active
Other names
Drexel Healing Hurt People
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY H KUKLA (CREDENTIALING SPECIALIST)
(215) 255-7782
Entity
Organization
Contact information
Practice address
1505 RACE ST FL 6, PHILADELPHIA, PA 19102-1119
(215) 762-3431
Mailing address
1601 CHERRY ST STE 11511, PHILADELPHIA, PA 19102-1310
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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