| Family Choice LLC | |
|
530 S 2nd St Apt. 528 Philadelphia PA 19147-2420 | |
| (267) 702-3568 | |
| Not Available |
| Full Name | Family Choice LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 530 S 2nd St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Dustin Nathaniel Barno (PRESIDENT/CEO) |
| Authorized Official Contact | 2677023568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Choice LLC 530 S 2nd St Apt. 528 Philadelphia PA 19147-2420 Ph: (267) 702-3568 | Family Choice LLC 530 S 2nd St Apt. 528 Philadelphia PA 19147-2420 Ph: (267) 702-3568 |
| NPI Number | 1215358494 |
|---|---|
| Provider Enumeration Date | 12/14/2013 |
| Last Update Date | 12/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215358494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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