Organization
COMMUNITY HAVEN GROUP HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER K KEAR (CEO)
(267) 226-4499
Entity
Organization
Contact information
Practice address
4116 W GIRARD AVE, PHILADELPHIA, PA 19104-1186
(267) 226-4499
Mailing address
4116 W GIRARD AVE, PHILADELPHIA, PA 19104-1186
(267) 226-4499
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
06/29/2021
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