Organization
IVY ROSE CARDILLO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVY ROSE CARDILLO (OWNER)
(971) 270-0829
Entity
Organization
Contact information
Practice address
429 MCKEAN ST, PHILADELPHIA, PA 19148-2524
(971) 270-0829
Mailing address
429 MCKEAN ST, PHILADELPHIA, PA 19148-2524
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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