Organization
INDEPENDENT CONTRACTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NWABUNWANNE ANTHONY OKAFOR MS, MBA (BSC)
(215) 715-7999
Entity
Organization
Contact information
Practice address
9406 KREWSTOWN RD, PHILADELPHIA, PA 19115-3713
(215) 464-2939
Mailing address
9406 KREWSTOWN RD, PHILADELPHIA, PA 19115-3713
(215) 464-2939
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH002478
PA
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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