Organization
DOT BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOLAKEMI AKINTOMIDE (CEO)
(484) 665-2351
Entity
Organization
Contact information
Practice address
619 SHARON LN, PHILADELPHIA, PA 19115-3516
(484) 665-2351
Mailing address
619 SHARON LN, PHILADELPHIA, PA 19115-3516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
163W00000X
Registered Nurse
—
—
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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