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Organization
TREE OF LIFE PROFESSIONAL BEHAVORIAL HEALTH SERVICES
Active
Organization
TREE OF LIFE PROFESSIONAL BEHAVORIAL HEALTH SERVICES
Active
Other names
Tree of Life Behavioral Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADA L TULEJA MSW (CEO)
(215) 533-5433
Entity
Organization
Contact information
Practice address
7048 CASTOR AVE, PHILADELPHIA, PA 19149-1713
(215) 533-5433
(215) 533-5432
Mailing address
7048 CASTOR AVE, PHILADELPHIA, PA 19149-1713
(215) 533-5433
(215) 533-5432
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
132210
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
132210
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022413650001
—
PA
Enumeration date
03/29/2007
Last updated
01/28/2009
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