Organization
TREE OF LIFE PROFESSIONAL BEHAVORIAL HEALTH SERVICES
Active
Other names
Tree of Life Behavioral Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADA L TULEJA MSW (CEO)
(215) 533-5433
Entity
Organization
Contact information
Practice address
7048 CASTOR AVE, PHILADELPHIA, PA 19149-1713
(215) 533-5433
(215) 533-5432
Mailing address
7048 CASTOR AVE, PHILADELPHIA, PA 19149-1713
(215) 533-5433
(215) 533-5432
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
132210
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
132210
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022413650001
—
PA
Enumeration date
03/29/2007
Last updated
01/28/2009
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