Organization
KAREN KEVRESHE
Active
Other names
Children's Crisis Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA ETTINGOFF (DIRECTOR OF CLINICAL AFFAIRS)
(215) 496-0707
Entity
Organization
Contact information
Practice address
417 N 8TH ST, 402, PHILADELPHIA, PA 19123-3916
(215) 496-0707
(215) 627-9042
Mailing address
238 S CAMAC ST, 3B, PHILADELPHIA, PA 19107-7019
(267) 234-1833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CWO15024
PA
Other
Enumeration date
05/17/2007
Last updated
07/10/2007
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