Organization
THE ATTIC YOUTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE JACOBS PH.D (EXECUTIVE DIRECTOR)
(215) 545-4331
Entity
Organization
Contact information
Practice address
255 S 16TH ST, PHILADELPHIA, PA 19102-3303
(215) 545-4331
(215) 545-5774
Mailing address
255 S 16TH ST, PHILADELPHIA, PA 19102-3303
(215) 545-4331
(215) 545-5774
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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