| Maternal Child Consortium, Inc | |
|
52 East Street Road Feasterville PA 19053-7671 | |
| (267) 525-7000 | |
| (267) 525-7010 |
| Full Name | Maternal Child Consortium, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 52 East Street Road, Feasterville, Pennsylvania |
| Authorized Official Name and Position | Kenneth W. Brownell (CEO) |
| Authorized Official Contact | 2675257000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maternal Child Consortium, Inc 800 Clarmont Ave Suite B Bensalem PA 19020-5705 Ph: (267) 525-7000 | Maternal Child Consortium, Inc 52 East Street Road Feasterville PA 19053-7671 Ph: (267) 525-7000 |
| NPI Number | 1457681249 |
|---|---|
| Provider Enumeration Date | 12/30/2009 |
| Last Update Date | 12/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457681249 | NPI | - | NPPES |
| 1007762890001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 112720 (Pennsylvania) | Primary |
Sherri Landes Phd Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1200 Bustleton Pike, Suite 4 B, Feasterville, PA 19053 Phone: 215-364-0344 Fax: 215-364-3931 |