Organization
MAPLE LEAF BEHAVIORAL SERVICES
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL MARRERO (CEO)
(267) 815-8544
Entity
Organization
Contact information
Practice address
1332 DISSTON ST, PHILADELPHIA, PA 19111-4502
(267) 815-8544
Mailing address
1332 DISSTON ST, PHILADELPHIA, PA 19111-4502
(267) 815-8544
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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