Organization
GOOD FORTUNE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE RICH (OWNER)
(215) 439-5563
Entity
Organization
Contact information
Practice address
2217 NORTH MELVIN STREET, PHILADELPHIA, PA 19131
(215) 439-5563
Mailing address
2217 NORTH MELVIN STREET, PHILADELPHIA, PA 19131
(215) 439-5563
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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