Organization
THE ANDANTE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER FINE MD (MEDICAL DIRECTOR)
(215) 744-5505
Entity
Organization
Contact information
Practice address
6404 ROOSEVELT BLVD, SUITE 1D, PHILADELPHIA, PA 19149-2943
(215) 744-5505
(215) 744-6374
Mailing address
6404 ROOSEVELT BLVD, SUITE 1D, PHILADELPHIA, PA 19149-2943
(215) 744-5505
(215) 744-6374
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
807411
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
807411
PA STATE LICENSE
PA
Enumeration date
03/03/2010
Last updated
03/03/2010
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