Organization
MATERNAL CHILD CONSOURTIUM, INC.
Active
Organization
MATERNAL CHILD CONSOURTIUM, INC.
Active
Other names
MCC, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH W. BROWNELL R.P.H (CEO)
(267) 525-7000
Entity
Organization
Contact information
Practice address
2055 BROWNSVILLE ROAD, FEASTERVILLE-TREVOSE, PA 19053-3532
(267) 525-7000
(267) 525-7010
Mailing address
800 CLARMONT AVENUE, 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007762890001
—
PA
Enumeration date
12/05/2018
Last updated
12/10/2018
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