Organization
HEALTH PROMOTION COUNCIL OF SOUTHEASTERN PENNSYLVANIA, INC.
Active
Other names
Health Promotion Council
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA EVERETT CLARKE (SR DIRECTOR QUALITY OPERATIONS)
(267) 765-2334
Entity
Organization
Contact information
Practice address
1500 MARKET ST, CENTRE SQUARE EAST, PHILADELPHIA, PA 19102-2100
(215) 731-6150
(215) 731-6199
Mailing address
1500 MARKET ST, CENTRE SQUARE EAST, PHILADELPHIA, PA 19102-2100
(215) 731-6150
(215) 731-6199
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
172V00000X
Community Health Worker
—
—
251K00000X
Public Health or Welfare Agency
—
—
Other
Enumeration date
01/27/2014
Last updated
12/15/2020
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