Organization
PLACE OF REFUGE, INC
Active
Other names
The Place of Refuge
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN DICKEY (EXECUTIVE DIRECTOR (INTERIM))
(267) 909-8550
Entity
Organization
Contact information
Practice address
2938 N 5TH ST, PHILADELPHIA, PA 19133-2801
(267) 909-8550
(267) 909-8552
Mailing address
2938 N 5TH ST, PHILADELPHIA, PA 19133-2801
(267) 909-8550
(267) 909-8552
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
IN PROCESS
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022577860001
—
PA
Enumeration date
09/13/2007
Last updated
10/03/2024
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