Organization
PHILADELPHIA COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MESVESKAS (CEO)
(610) 298-1999
Entity
Organization
Contact information
Practice address
25 BALA AVE, SUITE 202, BALA CYNWYD, PA 19004-3213
(610) 298-1999
(267) 262-6733
Mailing address
25 BALA AVE, SUITE 202, BALA CYNWYD, PA 19004-3213
(610) 298-1999
(267) 262-6733
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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