Organization
GREATER PHILADELPHIA HEALTH ACTION INC.
Active
Other names
GPHA- Spectrum Behavioral Srvs.
Organization subpart
No
Provider details
NPI number
Authorized official
D. TINA SMITH (PROVIDER ENROLLMENT SPEC.)
(215) 925-2400
Entity
Organization
Contact information
Practice address
1489 BALTIMORE PIKE, BUILDING 300, SUITE 300, THE MILLS OF VICTORIA, SPRINGFIELD, PA 19064-6024
(484) 472-7430
(484) 472-7718
Mailing address
1401 S 31ST ST FL 2, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
07/21/2022
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