Organization
GPHA AL ASSIST FRANKFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA SANTA (MANAGED CARE COORDINATOR)
(215) 925-2400
Entity
Organization
Contact information
Practice address
4510 FRANKFORD AVE, PHILA, PA 19124-3602
(215) 831-9882
Mailing address
432 N 6TH ST, PHILA, PA 19123-4004
(215) 925-2400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001374480018
—
PA
01
—
391820
MEDICARE ID
—
Enumeration date
06/07/2006
Last updated
01/24/2008
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