# WESTMEADE CENTER

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

## Provider details

- **NPI number:** 1982763017
- **Authorized official:** MS. ROSE DIOTTAVIO (PRESIDENT)
- **Authorized official phone:** (215) 471-2687

## Contact information

- **Practice address:** 111 N 49TH ST, PHILADELPHIA, PA 19139-2718
- **Practice address phone:** (215) 471-2687
- **Practice address fax:** (215) 471-2845
- **Mailing address:** 111 N 49TH ST, PHILADELPHIA, PA 19139-2718
- **Mailing address phone:** (215) 471-2687
- **Mailing address fax:** (215) 471-2845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 187750 | PA | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 06/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007723600009 | — | PA |