Organization
AUTISM HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMIKA MEDLEY (LICENSED BEHAVIOR SPECIALIST)
(302) 494-5267
Entity
Organization
Contact information
Practice address
20 S OLIVE ST STE 202, MEDIA, PA 19063-3228
(302) 494-5267
Mailing address
20 S OLIVE ST STE 202A, MEDIA, PA 19063-3228
(610) 548-5443
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH002126
PA
Other
Enumeration date
09/18/2017
Last updated
08/19/2019
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