Organization
CHILD & FAMILY RESILIENCY PROJECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN DIDONATO PHD, LPC (PRESIDENT)
(856) 209-2139
Entity
Organization
Contact information
Practice address
1 BALA AVE STE 125, BALA CYNWYD, PA 19004-3217
(267) 438-9454
Mailing address
1533 HILLSIDE DR, CHERRY HILL, NJ 08003-3536
(267) 438-9454
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PC008460
PA
Other
Enumeration date
10/29/2017
Last updated
10/29/2017
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