Organization
GREEN TREE SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERMAN AXELROD PHD (EXECUTIVE DIRECTOR)
(215) 843-4528
Entity
Organization
Contact information
Practice address
146 W WALNUT LN, PHILADELPHIA, PA 19144-2612
(215) 843-4528
(215) 843-2688
Mailing address
PO BOX 25639, PHILADELPHIA, PA 19144-0639
(215) 843-4528
(215) 843-2688
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
121810
PA
Other
Enumeration date
04/10/2007
Last updated
07/24/2008
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