# PROMOTING YOUTH EMPOWERMENT, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720308885
- **Authorized official:** DR. THERESA A PRESCOTT DO (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (215) 356-2043

## Contact information

- **Practice address:** 2521 W GIRARD AVE, PHILADELPHIA, PA 19130-1313
- **Practice address phone:** (267) 265-1767
- **Mailing address:** 220 FLAMINGO RD, MARLTON, NJ 08053-5106
- **Mailing address phone:** (215) 356-2043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2010
- **Last updated:** 06/24/2010