Organization
CENTER FOR CREATIVE HUMAN PERFORMANCE, LLC
Active
Other names
CHP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARATHI R RAO PH.D (PRESIDENT)
(215) 364-3722
Entity
Organization
Contact information
Practice address
688 KNOWLES AVE, UNIT C, SOUTHAMPTON, PA 18966-4102
(215) 364-3722
(215) 968-9034
Mailing address
688 KNOWLES AVE, UNIT C, SOUTHAMPTON, PA 18966-4102
(215) 364-3722
(215) 968-9034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2579139000
BLUE CROSS
PA
01
—
819904000
MAGELLAN MIS
PA
Enumeration date
01/15/2007
Last updated
02/12/2010
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