Organization
SUPPORTS YOUR WAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIET MARSALA M.S. (CHIEF EXECUTIVE OFFICER/PRESIDENT)
(267) 312-0826
Entity
Organization
Contact information
Practice address
1213 VINE ST, SUITE 214, PHILADELPHIA, PA 19107-1111
(215) 557-7243
Mailing address
1213 VINE ST, SUITE 214, PHILADELPHIA, PA 19107-1111
(215) 557-7243
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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