| Mcphu D & a Center City Clinic | |
|
1427 Vine St Philadelphia PA 19102-1031 | |
| (215) 831-4811 | |
| (215) 831-2603 |
| Full Name | Mcphu D & a Center City Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1427 Vine St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Denise Herbert-jones (PRACTICE MANAGER) |
| Authorized Official Contact | 2158314811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcphu D & a Center City Clinic 1427 Vine St Philadelphia PA 19102-1031 Ph: (215) 831-4811 | Mcphu D & a Center City Clinic 1427 Vine St Philadelphia PA 19102-1031 Ph: (215) 831-4811 |
| NPI Number | 1427183904 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427183904 | NPI | - | NPPES |
| 1007571110309 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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