Organization
BUILDING TO LIFE
Active
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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