| Children's Service Inc. Behavioral Health Clinic | |
|
1315 Walnut St Suite 200 Philadelphia PA 19107-4719 | |
| (215) 546-3503 | |
| (215) 546-1633 |
| Full Name | Children's Service Inc. Behavioral Health Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1315 Walnut St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Dorothy P Simmons (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2155463503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Service Inc. Behavioral Health Clinic 1315 Walnut St Suite 200 Philadelphia PA 19107-4719 Ph: (215) 546-3503 | Children's Service Inc. Behavioral Health Clinic 1315 Walnut St Suite 200 Philadelphia PA 19107-4719 Ph: (215) 546-3503 |
| NPI Number | 1205996352 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 11/02/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205996352 | NPI | - | NPPES |
| 1007550000001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 197210 (Pennsylvania) | Primary |
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