Organization
NORTHERN HOME FOR CHILDREN AND FAMILY SERVICES
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
Mailing address
5301 RIDGE AVE, PHILADELPHIA, PA 19128-3757
(215) 482-1423
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10077820000010
—
PA
Enumeration date
05/30/2008
Last updated
03/24/2016
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