Organization
SHALOM INC.
Active
Organization
SHALOM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELEINE BOYD (EX. DIRECTOR)
(215) 425-7727
Entity
Organization
Contact information
Practice address
1080 N DELAWARE AVE, SUITE 602, PHILADELPHIA, PA 19125-4330
(215) 425-7727
(215) 425-7785
Mailing address
1080 N DELAWARE AVE, SUITE 602, PHILADELPHIA, PA 19125-4330
(215) 425-7727
(215) 425-7785
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119070
CBH DA OUTPATIENT
PA
01
—
81093
CBH MH OUTPATIENT
PA
Enumeration date
02/23/2007
Last updated
03/20/2008
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