Liberty Community Connections, Inc | |
112 N 8th St Ste 602 Philadelphia PA 19107 | |
(267) 765-1515 | |
Not Available |
Full Name | Liberty Community Connections, Inc |
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Speciality | Case Management |
Location | 112 N 8th St Ste 602, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Elizabeth Thul (CO-EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2677651515 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Liberty Community Connections, Inc 112 N 8th St Ste 602 Philadelphia PA 19107-2422 Ph: (267) 765-1515 | Liberty Community Connections, Inc 112 N 8th St Ste 602 Philadelphia PA 19107 Ph: (267) 765-1515 |
NPI Number | 1407365257 |
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Provider Enumeration Date | 09/25/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1407365257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 102749306 (Pennsylvania) | Secondary |
251B00000X | Case Management | 102749306 (Pennsylvania) | Primary |
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