Organization
CHILDREN'S CRISIS TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA S. ETTINGOFF PH.D. (DIRECTOR OF CLINICAL AND QUALITY)
(215) 496-0707
Entity
Organization
Contact information
Practice address
525 CLINTON ST, CAMDEN, NJ 08103-1223
(215) 496-0707
Mailing address
1080 N DELAWARE AVE STE 600, PHILADELPHIA, PA 19125-4339
(215) 496-0707
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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