| Anti Violence Advocacy, Lls | |
|
1121 Penn Ave Wyomissing PA 19610-2033 | |
| (610) 780-0665 | |
| Not Available |
| Full Name | Anti Violence Advocacy, Lls |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1121 Penn Ave, Wyomissing, Pennsylvania |
| Authorized Official Name and Position | Denise Cammarano (DIRECTOR) |
| Authorized Official Contact | 6107800665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anti Violence Advocacy, Lls 1121 Penn Ave Wyomissing PA 19610-2033 Ph: (610) 780-0665 | Anti Violence Advocacy, Lls 1121 Penn Ave Wyomissing PA 19610-2033 Ph: (610) 780-0665 |
| NPI Number | 1316381932 |
|---|---|
| Provider Enumeration Date | 04/25/2013 |
| Last Update Date | 06/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316381932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW128401 (Pennsylvania) | Primary |
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