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Organization
OPEN HEART CHILDREN'S YOUTH SERVICES LLC
Active
Organization
OPEN HEART CHILDREN'S YOUTH SERVICES LLC
Active
Other names
Chevelle Howard
Organization subpart
No
Provider details
NPI number
Authorized official
CHEVELLE HOWARD (CEO)
(610) 314-0809
Entity
Organization
Contact information
Practice address
1546 N FELTON ST, PHILADELPHIA, PA 19151-3807
(610) 314-0809
Mailing address
1546 N FELTON ST, PHILADELPHIA, PA 19151-3807
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
174200000X
Meals Provider
—
NULL
251B00000X
Case Management Agency
—
NULL
253J00000X
Foster Care Agency
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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