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Organization
PROMOTING YOUTH EMPOWERMENT, INC
Active
Organization
PROMOTING YOUTH EMPOWERMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA A PRESCOTT DO (CHIEF MEDICAL OFFICER)
(215) 356-2043
Entity
Organization
Contact information
Practice address
2521 W GIRARD AVE, PHILADELPHIA, PA 19130-1313
(267) 265-1767
Mailing address
220 FLAMINGO RD, MARLTON, NJ 08053-5106
(215) 356-2043
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/10/2010
Last updated
06/24/2010
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