| Liberty Community Connections, Inc | |
|
112 N 8th St Ste 602 Philadelphia PA 19107 | |
| (267) 765-1515 | |
| Not Available |
| Full Name | Liberty Community Connections, Inc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/25/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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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