Organization
BUILDING TO LIFE
Active
Other names
Case Management services
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA DAVIS BS HUMAN SERVICES (CASE MANAGER)
(215) 500-9425
Entity
Organization
Contact information
Practice address
4728 OXFORD AVE, PHILADELPHIA, PA 19124-5835
(215) 500-9425
Mailing address
7419 BARCLAY RD, CHELTENHAM, PA 19012-1302
(215) 500-9425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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