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Organization

FORENSIC FAMILY THERAPY TREATMENT PROGRAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD J COHEN PHD (PRESIDENT)
(215) 985-2501
Entity
Organization

Contact information

Practice address
1200 CALLOWHILL ST, SUITE 104, PHILADELPHIA, PA 19123-3604
(215) 413-0141
(215) 413-0144
Mailing address
260 S BROAD STREET, 18TH FLOOR, PHILADELPHIA, PA 19102
(215) 985-2500
(215) 731-2049

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/07/2007
Last updated
07/14/2008
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