Organization
HOLISTIC THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA RUSSELL LCSW (MANAGER)
(856) 629-0464
Entity
Organization
Contact information
Practice address
7116 CLINTON RD STE A, UPPER DARBY, PA 19082-5212
(856) 629-0464
Mailing address
7116 CLINTON RD STE A, UPPER DARBY, PA 19082-5212
(856) 629-0464
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/09/2020
Last updated
02/09/2020
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