Organization
AND ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ASHLEY DANIELS (OWNER)
(267) 909-1059
Entity
Organization
Contact information
Practice address
600 ALCOTT ST, PHILADELPHIA, PA 19120-1220
(267) 909-1059
Mailing address
600 ALCOTT ST, PHILADELPHIA, PA 19120-1220
(267) 909-1059
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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