| Autism Hope Llc | |
|
20 S Olive St Ste 202 Media PA 19063-3228 | |
| (302) 494-5267 | |
| Not Available |
| Full Name | Autism Hope Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 20 S Olive St Ste 202, Media, Pennsylvania |
| Authorized Official Name and Position | Tamika Medley (LICENSED BEHAVIOR SPECIALIST) |
| Authorized Official Contact | 3024945267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Hope Llc 20 S Olive St Ste 202a Media PA 19063-3228 Ph: (610) 548-5443 | Autism Hope Llc 20 S Olive St Ste 202 Media PA 19063-3228 Ph: (302) 494-5267 |
| NPI Number | 1962921213 |
|---|---|
| Provider Enumeration Date | 09/18/2017 |
| Last Update Date | 08/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962921213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH002126 (Pennsylvania) | Primary |
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