Organization
CONGRESO DE LATINOS UNIDOS, INC
Active
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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