Organization
TRANSITIONAL PHASE III
Active
Other names
JB Mobile BHS
Organization subpart
No
Provider details
NPI number
Authorized official
JO BENAIT PSYCHOLOGIST (CEO)
(215) 877-7465
Entity
Organization
Contact information
Practice address
3900 PRESEDENTIAL BLVD, PHILA, PA 19131
(215) 877-7465
(215) 877-7465
Mailing address
PO BOX 811, BALA CYNWYD, PA 19004
(215) 877-7465
(215) 883-2010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/17/2007
Last updated
08/22/2020
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