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Organization
CHILDREN'S CRISIS TREATMENT CENTER
Active
Organization
CHILDREN'S CRISIS TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA S. ETTINGOFF PH.D. (DIRECTOR OF CLINICAL AND QUALITY)
(215) 496-0707
Entity
Organization
Contact information
Practice address
740 CHESTNUT ST, CAMDEN, NJ 08103-2402
(215) 496-0707
Mailing address
1080 N DELAWARE AVE STE 600, PHILADELPHIA, PA 19125-4339
(215) 496-0707
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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