Organization
COVENANT HOUSE INC.
Active
Other names
CHI KIDZ
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN RICHARDSON (DIRECTOR, REIMBURSEMENT)
(215) 844-1020
Entity
Organization
Contact information
Practice address
301 E CHELTEN AVE FL 3, PHILADELPHIA, PA 19144-6701
(215) 844-1020
(215) 844-2702
Mailing address
251 E BRINGHURST ST, PHILADELPHIA, PA 19144-1799
(215) 844-1020
(215) 844-2702
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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