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Organization

PUBLIC HEALTH MANAGEMENT CORPORATION

Active
Other names
Interim House West
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD J COHEN PHD (PRESIDENT)
(215) 985-2501
Entity
Organization

Contact information

Practice address
4108 PARKSIDE AVENUE, PHILADELPHIA, PA 19102
(215) 871-0300
(215) 477-0244
Mailing address
1500 MARKET ST FL EAST17, PHILADELPHIA, PA 19102-2100
(215) 985-2500
(267) 765-2325

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
807285
PA

Other

Enumeration date
01/29/2007
Last updated
12/18/2019
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