Organization
RETAP LIFE PLLC
Active
Organization
RETAP LIFE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRINA BROOKS PH.D. (OWNER)
(484) 393-5257
Entity
Organization
Contact information
Practice address
6831 N 17TH ST, PHILADELPHIA, PA 19126-2738
(484) 393-5257
Mailing address
6831 N 17TH ST, PHILADELPHIA, PA 19126-2738
(484) 393-5257
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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