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Organization

CONGRESO DE LATINOS UNIDOS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FELIX ALEXANDER PEREZ MSW (QUALITY ASSURANCE MANAGER)
(215) 763-8870
Entity
Organization

Contact information

Practice address
216 WEST SOMERSET STREET, LOWER LEVEL, PHILADELPHIA, PA 19133-3534
(215) 763-8870
(215) 291-9153
Mailing address
216 WEST SOMERSET STREET, LOWER LEVEL, PHILADELPHIA, PA 19133-3534
(215) 763-8870
(215) 291-9153

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
850454
PA
101YM0800X
Mental Health Counselor
105810
PA
251S00000X
Community/Behavioral Health Agency
Primary
105810
PA
251S00000X
Community/Behavioral Health Agency
85045A
PA

Other

Enumeration date
02/27/2007
Last updated
08/05/2008
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