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Organization

UNITED CEREBRAL PALSY ASSOCIATION OF PHILADELPHIA & VICINITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIS A. DIBBLE M.A. (EXECUTIVE DIRECTOR)
(215) 248-7602
Entity
Organization

Contact information

Practice address
102 E MERMAID LN, PHILADELPHIA, PA 19118-3507
(215) 242-4200
(215) 247-4229
Mailing address
102 E MERMAID LN, PHILADELPHIA, PA 19118-3507
(215) 242-4200
(215) 247-4229

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
139930
PA
251V00000X
Voluntary or Charitable Agency
Primary
171040
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000015100012
PA
Enumeration date
03/30/2007
Last updated
09/11/2025
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