Organization
OPTIMAL AGING
Active
Other names
Eldercall
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A HARRIS LCSW (EXECUTIVE DIRECTOR)
(215) 356-9321
Entity
Organization
Contact information
Practice address
1015 W ALLENS LN, PHILADELPHIA, PA 19119-3316
(215) 356-9321
Mailing address
1015 W ALLENS LN, PHILADELPHIA, PA 19119-3316
(215) 356-9321
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2021
Last updated
07/12/2021
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