Organization
GREEN TREE SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERMAN AXELROD PH.D. (EXECUTIVE DIRECTOR)
(215) 843-4528
Entity
Organization
Contact information
Practice address
146 W WALNUT LN, PHILADELPHIA, PA 19144-2612
(215) 843-4528
(215) 843-2688
Mailing address
146 W WALNUT LN, PO BOX 25639, PHILADELPHIA, PA 19144-2612
(215) 843-4528
(215) 843-2688
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007284230001
—
PA
Enumeration date
08/29/2006
Last updated
08/06/2008
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