Organization
JOHN F. KENNEDY COMMUNITY MH/MR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FARI THOMPSON LCS (DIRECTOR)
(215) 568-0860
Entity
Organization
Contact information
Practice address
112 N BROAD ST, PHILADELPHIA, PA 19102-1510
(215) 568-0860
(215) 568-0769
Mailing address
112 N BROAD ST, PHILADELPHIA, PA 19102-1510
(215) 568-0860
(215) 568-0769
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
PA
Other
Enumeration date
08/31/2006
Last updated
07/21/2022
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