Organization
PHILADELPHIA AREA SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYME BANKS PSYD, MBA (DEPUTY CHIEF OF PREVENTION, INTERVE)
(215) 681-6688
Entity
Organization
Contact information
Practice address
440 N BROAD ST, PHILADELPHIA, PA 19130-4015
(215) 681-6688
Mailing address
440 N BROAD ST, PHILADELPHIA, PA 19130-4015
(215) 681-6688
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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