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Find providers by NPI
Organization

WMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAKISA S GALLMAN (VP ADMINISTRATIVE SERVICES)
(215) 276-3922
Entity
Organization

Contact information

Practice address
4243 FRANKFORD AVE, PHILADELPHIA, PA 19124-4520
(215) 276-3922
(215) 744-1400
Mailing address
6711 OLD YORK RD OFC, PHILADELPHIA, PA 19126-2841
(215) 276-3922
(215) 276-1249

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001680493
PA
Enumeration date
07/19/2019
Last updated
07/19/2019
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