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Organization
ST. VINCENT'S TACONY
Active
Organization
ST. VINCENT'S TACONY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSPEH E LAVORITANO M.ED. (ADMINISTRATOR)
(215) 624-5600
Entity
Organization
Contact information
Practice address
7201 MILNOR ST, PHILADELPHIA, PA 19135-1524
(215) 624-5600
(215) 624-8355
Mailing address
7201 MILNOR ST, PHILADELPHIA, PA 19135-1524
(215) 624-5600
(215) 624-8355
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
PA
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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