Organization
EDBECO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA D CHEPULIS (EXECUTIVE DIRECTOR)
(215) 836-1383
Entity
Organization
Contact information
Practice address
1811 BETHLEHEM PIKE, BLDG B-1 SUITE 211, FLOURTOWN, PA 19031-1111
(215) 836-1383
(215) 836-1384
Mailing address
1811 BETHLEHEM PIKE, BLDG B-1 SUITE 211, FLOURTOWN, PA 19031-1111
(215) 836-1383
(215) 836-1384
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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