Organization
AMUDIPES OUTPATIENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN AMUDIPE (OWNER)
(215) 858-7685
Entity
Organization
Contact information
Practice address
5111 DOLPHIN LN, CHARLOTTE, NC 28215-3101
(704) 531-0359
Mailing address
90 NORRISTOWN RD, BLUE BELL, PA 19422-2802
(215) 858-7685
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/11/2011
Last updated
01/28/2011
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