Organization
TCM ADOLESCENT INITIATIVE AND FAMILY CARE CENTER
Active
Parent organization
CHILDREN'S HOSPITAL OF PHILADELPHIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HOSPITAL OF PHILADELPHIA
Authorized official
EDWARD BLEACHER (VP)
(267) 426-6179
Entity
Organization
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
(215) 590-0426
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-4308
(215) 590-1000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/08/2016
Last updated
07/12/2022
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