Organization
BEHAVIORAL HEALTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISSARH JACKSON (OWNER AND OPERATOR)
(267) 343-8753
Entity
Organization
Contact information
Practice address
8080 OLD YORK RD STE 208, ELKINS PARK, PA 19027-1425
(267) 343-8753
Mailing address
6313 HASBROOK AVE, PHILADELPHIA, PA 19111-5603
(267) 343-8753
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102417914
—
PA
Enumeration date
09/26/2022
Last updated
09/26/2022
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