Organization
COMPASSIONATE CARE CENTER LLC
Active
Organization
COMPASSIONATE CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POLINA STOLYAROVA (PRESIDENT)
(215) 676-6393
Entity
Organization
Contact information
Practice address
10151 BUSTLETON AVE, UNIT C, PHILADELPHIA, PA 19116-3718
(215) 676-6393
Mailing address
10151 BUSTLETON AVE, UNIT C, PHILADELPHIA, PA 19116-3718
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MD418065
PA
Other
Enumeration date
04/13/2008
Last updated
04/13/2008
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