Organization
EXPLORATIONSPHP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAN WISLER (TREASURER)
(610) 539-8550
Entity
Organization
Contact information
Practice address
930 JEFFERSON AVE, EAGLEVILLE, PA 19403-2304
(610) 539-8550
Mailing address
930 JEFFERSON AVE, EAGLEVILLE, PA 19403-2304
(610) 539-8550
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
137330
PA
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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