Organization
SPECIAL PEOPLE IN NORTHEAST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNEMARIE FRANCES CLARKE PHD (CORPORATE OFFICER)
(267) 784-4021
Entity
Organization
Contact information
Practice address
10501 DRUMMOND RD, PHILADELPHIA, PA 19154-3807
(215) 612-7639
Mailing address
10501 DRUMMOND RD, PHILADELPHIA, PA 19154-3807
(215) 612-7639
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147410
OMHSAS
PA
Enumeration date
04/15/2021
Last updated
04/15/2021
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