Organization
PHILADELPHIAL MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIA MICHELE HUNTER M. S. (BSC/ MT)
(215) 900-0891
Entity
Organization
Contact information
Practice address
1235 PINE ST, PHILADELPHIA, PA 19107-5945
(215) 735-7068
Mailing address
519 GLENDALE RD, UPPER DARBY, PA 19082-5018
(215) 900-0891
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
251S0000X
PA
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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