Organization
CONSTITUTION HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY GLEESON SCHROCK (MANAGING PARTNER)
(610) 574-3978
Entity
Organization
Contact information
Practice address
1215 CEDAR GROVE RD, MEDIA, PA 19063-1044
(610) 574-3978
Mailing address
1215 CEDAR GROVE RD, MEDIA, PA 19063-1044
(610) 574-3978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
03/02/2020
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