Organization
WOMEN'S INSTITUTE FOR FAMILY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ROACHE (EXECUTIVE DIRECTOR)
(215) 747-2391
Entity
Organization
Contact information
Practice address
5936 CHESTNUT ST, 1ST FLOOR, PHILADELPHIA, PA 19139-3142
(215) 747-2391
Mailing address
5936 CHESTNUT ST, 1ST FLOOR, PHILADELPHIA, PA 19139-3142
(215) 747-2391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
807398
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001974320
—
PA
Enumeration date
01/10/2007
Last updated
11/16/2010
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