Organization
OPEN HEART CHILDREN'S YOUTH SERVICES LLC
Active
Other names
Chevelle Howard
Organization subpart
No
Provider details
NPI number
Authorized official
CHEVELLE HOWARD (CEO)
(610) 314-0809
Entity
Organization
Contact information
Practice address
1546 N FELTON ST, PHILADELPHIA, PA 19151-3807
(610) 314-0809
Mailing address
1546 N FELTON ST, PHILADELPHIA, PA 19151-3807
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
253J00000X
Foster Care Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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