Organization
PROGRAMS EMPLOYING PEOPLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRAHAM B GILL (EXECUTIVE DIRECTOR)
(215) 389-4006
Entity
Organization
Contact information
Practice address
1200 S BROAD ST, PHILADELPHIA, PA 19146-3119
(215) 389-4006
(215) 389-5228
Mailing address
1200 S BROAD ST, PHILADELPHIA, PA 19146-3119
(215) 389-4006
(215) 389-5228
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
09/11/2025
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