Organization
COMMUNITY OUTREACH PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH L HARDEN M.H.S, (EXCUTIVE DIRECTOR)
(215) 473-1181
Entity
Organization
Contact information
Practice address
1311 N 52ND ST, PHILADELPHIA, PA 19131-4412
(215) 473-1181
(215) 879-2723
Mailing address
1311 N 52ND STREET, PHILADELPHIA, PA 19131
(215) 473-1181
(215) 879-2723
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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