Organization
MATERNAL CHILD CONSORTIUM, INC
Active
Parent organization
MATERNAL CHILD CONSORTIUM, INC
Other names
MCC, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
MATERNAL CHILD CONSORTIUM, INC
Authorized official
MR. KENNETH W. BROWNELL R.P.H. (CEO)
(267) 525-7000
Entity
Organization
Contact information
Practice address
145 FORSYTHIA DR. SOUTH, MIDDLETOWN TWP, PA 19056-1829
(267) 525-7000
(267) 525-7010
Mailing address
800 CLARMONT AVE, SUITE B, BENSALEM, PA 19020-5705
(267) 525-7000
(267) 525-7010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
112720
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007762890003
—
PA
Enumeration date
06/27/2012
Last updated
06/27/2012
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