Organization
CHANGING YOUR MIND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH OFALT PSY.D. (PRESIDENT)
(215) 802-7291
Entity
Organization
Contact information
Practice address
42 W UPSAL ST, PHILADELPHIA, PA 19119-2711
(215) 802-7291
Mailing address
42 W UPSAL ST, PHILADELPHIA, PA 19119-2711
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PS008661L
PA
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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