Organization
CHOP BEHAVIORAL HEALTH
Active
Parent organization
CHOP CLINICAL ASSOCIATES
Other names
CHOP Clinical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHOP CLINICAL ASSOCIATES
Authorized official
LANCE CASTLE (DIRECTOR, BILLING)
(215) 590-5317
Entity
Organization
Contact information
Practice address
7700 GERMANTOWN AVENUE, PHILADELPHIA, PA 19118
(215) 247-1172
Mailing address
7700 GERMANTOWN AVENUE, PHILADELPHIA, PA 19118
(215) 247-1172
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PA SW124830
PA
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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