Organization
INTERCOMMUNITY ACTION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN COHEN (CEO/PRESIDENT)
(215) 487-0906
Entity
Organization
Contact information
Practice address
6122 RIDGE AVE, PHILADELPHIA, PA 19128-1603
(215) 487-1330
Mailing address
6012 RIDGE AVE, PHILADELPHIA, PA 19128-1697
(215) 487-0906
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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