Organization
PATH (PEOPLE ACTING TO HELP), INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA BOURGEOIS (CHIEF INFORMATION OFFICER)
(215) 728-4610
Entity
Organization
Contact information
Practice address
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124-2343
(215) 305-6683
(215) 305-6681
Mailing address
8220 CASTOR AVE, PHILADELPHIA, PA 19152-2729
(215) 728-4610
(215) 745-6511
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
06/11/2019
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