Organization
KIM MEREDITH
Active
Other names
Children's Crisis Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA ETTINGOFF (DIRECTOR OF CLINICAL & QA)
(215) 496-9797
Entity
Organization
Contact information
Practice address
1823 CALLOWHILL ST, PHILADELPHIA, PA 19130-4109
(212) 496-0707
(215) 496-0742
Mailing address
1823 CALLOWHILL ST, PHILADELPHIA, PA 19130-4109
(212) 496-0707
(215) 496-0742
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW014399
PA
Other
Enumeration date
06/12/2007
Last updated
08/22/2020
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