Organization
WORDSWORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA LACKS (PRESIDENT/CEO)
(215) 643-5400
Entity
Organization
Contact information
Practice address
801 N. 48TH STREET, PHILADELPHIA, PA 19131
(215) 643-5400
Mailing address
3300 HENRY AVE, FOUR FALLS CENTER, 2ND FLOOR, PHILADELPHIA, PA 19129-1121
(215) 643-5400
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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