| La Puerta Abierta, Inc. | |
|
2141 N Howard St Philadelphia PA 19122-1712 | |
| (267) 245-0145 | |
| Not Available |
| Full Name | La Puerta Abierta, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2141 N Howard St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Cathi Tillman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2672450145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Puerta Abierta, Inc. Po Box 534 Narberth PA 19072-0534 Ph: () - | La Puerta Abierta, Inc. 2141 N Howard St Philadelphia PA 19122-1712 Ph: (267) 245-0145 |
| NPI Number | 1568179810 |
|---|---|
| Provider Enumeration Date | 11/04/2022 |
| Last Update Date | 11/04/2022 |
| Certification Date | 11/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568179810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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