Organization
CHILDREN'S CRISIS TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M STIMMELL (CLINICIAN)
(215) 496-0707
Entity
Organization
Contact information
Practice address
417 N 8TH ST, SUITE 402, PHILADELPHIA, PA 19123-3916
(215) 496-0707
(215) 627-9042
Mailing address
417 N 8TH ST, SUITE 402, PHILADELPHIA, PA 19123-3916
(215) 496-0707
(215) 627-9042
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PC004151
PA
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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