Organization
GREATER PHILADELPHIA HEALTH ACTION INC.
Active
Organization
GREATER PHILADELPHIA HEALTH ACTION INC.
Active
Other names
GPHA Woodland Ave. Behavioral Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MS. D TINA SMITH (PROVIDER ENROLLMENT SPEC.)
(215) 925-2400
Entity
Organization
Contact information
Practice address
5501 WOODLAND AVE, PHILADELPHIA, PA 19143-5607
(215) 724-4700
(215) 724-3111
Mailing address
1401 S 31ST ST, 2ND FLOOR, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/05/2010
Last updated
03/15/2017
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