Organization
NORTHERN HOME CHILDREN AND FAMILY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENATA COBBS-FLETCHER M.S. (PRESIDENT AND CEO)
(215) 482-1423
Entity
Organization
Contact information
Practice address
5301 RIDGE AVE, PHILADELPHIA, PA 19128-3757
(215) 482-1423
(215) 483-7855
Mailing address
5301 RIDGE AVE, PHILADELPHIA, PA 19128-3757
(215) 482-1423
(215) 483-7855
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007782000001
—
PA
05
—
1007782000003
—
PA
05
—
1007782000004
—
PA
05
—
1007782000009
—
PA
05
—
1007782000010
—
PA
05
—
1007782000011
—
PA
05
—
1007782000100
—
PA
05
—
1007782000101
—
PA
05
—
1007782000102
—
PA
05
—
1007782001009
—
PA
Enumeration date
04/25/2007
Last updated
03/24/2016
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