Organization
CASA DE CONSEJERIA Y SALUD INTEGRAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARELEN GONZALEZ MHS (EXECUTIVE DIRECTOR)
(215) 634-3259
Entity
Organization
Contact information
Practice address
213 W ALLEGHENY AVE, PHILADELPHIA, PA 19133-3617
(215) 634-3259
Mailing address
213 W ALLEGHENY AVE, PHILADELPHIA, PA 19133-3617
(215) 634-3259
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016561660001
—
PA
05
—
0016561660002
—
PA
05
—
0016561660003
—
PA
05
—
0016561660004
—
PA
05
—
0016561660005
—
PA
Enumeration date
04/15/2008
Last updated
11/20/2025
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