Organization
COMHAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAPETA B MAYSON (INTERIM CHIEF EXECUTIVE OFFICER)
(267) 541-9204
Entity
Organization
Contact information
Practice address
2055 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-3832
(215) 203-3037
(215) 203-3078
Mailing address
100 W LEHIGH AVE, PHILADELPHIA, PA 19133-4039
(215) 203-3037
(215) 203-3078
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
104560
PA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000004060107
—
PA
05
—
1000004060108
—
PA
05
—
1000004060109
—
PA
05
—
1000004060110
—
PA
05
—
1000004060111
—
PA
05
—
1000004060112
—
PW
05
—
1000004060136
—
PA
05
—
1000004060137
—
PA
05
—
1000004060138
—
PA
01
—
600001917
MAGELLAN 19134 3832
PA
01
—
600001919
MAGELLAN 19107 1913
PA
01
—
600001921
MAGELLAN 19133 3849
PA
01
—
600001922
MAGELLAN 19149 1229
PA
01
—
600001923
MAGELLAN 19104 1361
PA
01
—
600001925
MAGELLAN 19121 2217
PA
01
—
600001928
MAGELLAN 19144 2153
PA
Enumeration date
04/09/2007
Last updated
11/25/2024
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