Organization
LIBERTY COMMUNITY CONNECTIONS, INC
Active
Organization
LIBERTY COMMUNITY CONNECTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH THUL (CO-EXECUTIVE DIRECTOR)
(267) 765-1515
Entity
Organization
Contact information
Practice address
112 N 8TH ST STE 602, PHILADELPHIA, PA 19107
(267) 765-1515
Mailing address
112 N 8TH ST STE 602, PHILADELPHIA, PA 19107-2422
(267) 765-1515
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
102749306
PA
251S00000X
Community/Behavioral Health Agency
102749306
PA
Other
Enumeration date
09/25/2017
Last updated
07/21/2022
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