Organization
INTEGRATED COMMUNITY HEALTH NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH M. MARRONE (CEO)
(215) 732-6700
Entity
Organization
Contact information
Practice address
6523 ELMWOOD AVE, PHILADELPHIA, PA 19142-2816
(215) 360-3700
(215) 883-4476
Mailing address
200 S BROAD ST STE 610, PHILADELPHIA, PA 19102-3813
(215) 732-6700
(215) 732-7660
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104514345-0001
—
PA
Enumeration date
10/27/2025
Last updated
10/27/2025
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