Organization
ALTERNATIVE TREATMENT METHODS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. DONALD MITCHELL PHD (ACTING PRESIDENT)
(267) 449-9432
Entity
Organization
Contact information
Practice address
1001 CITY AVE, EC 911, WYNNEWOOD, PA 19096-3902
(267) 449-9432
Mailing address
1001 CITY AVE, EC 911, WYNNEWOOD, PA 19096-3902
(267) 449-9432
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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