Organization
CAROUSEL CONNECTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MCCANN (DIRECTOR)
(215) 948-2527
Entity
Organization
Contact information
Practice address
313 S 12TH ST, PHILADELPHIA, PA 19107-5935
(215) 948-2527
Mailing address
313 S 12TH ST, PHILADELPHIA, PA 19107-5935
(215) 948-2527
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
—
—
225X00000X
Occupational Therapist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102646004
—
PA
Enumeration date
12/16/2018
Last updated
08/26/2020
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