Organization
MI SALUD WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEILA CANETE (PRESIDENT)
(215) 220-4421
Entity
Organization
Contact information
Practice address
200 E. WYOMING AVE., PHILADELPHIA, PA 19120-4411
(215) 220-4421
Mailing address
200 E. WYOMING AVE., PHILADELPHIA, PA 19120-4411
(215) 220-4421
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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