Organization
EQUILIBRIA MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JAMES GOMEZ (VICE PRESIDENT)
(610) 715-8289
Entity
Organization
Contact information
Practice address
525 S 4TH ST STE 471, PHILADELPHIA, PA 19147-1582
(267) 861-3685
Mailing address
1 GATEVIEW RD, WAYNE, PA 19087-5324
(610) 715-8289
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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