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Organization

BEBASHI TRANSITION TO HOPE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LIBRO JAMES CIARMATORI JR. (PRACTICE ADMINISTRATOR)
(215) 769-3561
Entity
Organization

Contact information

Practice address
1235 SPRING GARDEN ST, PHILADELPHIA, PA 19123-3206
(215) 769-3561
Mailing address
1235 SPRING GARDEN ST, PHILADELPHIA, PA 19123-3206
(215) 769-3561

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
261Q00000X
Clinic/Center
261QC1500X
Community Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1024869940002
PA
Enumeration date
08/30/2011
Last updated
11/30/2022
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