Organization
PMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NYSHEA N PARKER (TSS WORKER)
(267) 258-7024
Entity
Organization
Contact information
Practice address
1230 SUMMER ST, PHILA, PA 19107
(215) 772-0101
Mailing address
702 OAK LANE 1ST FL, PHILA, PA 19126
(267) 258-7024
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
PA
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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