| Purple House Project PA Inc. | |
|
2532 N Broad St Philadelphia PA 19132-4013 | |
| (480) 754-9564 | |
| Not Available |
| Full Name | Purple House Project PA Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 2532 N Broad St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Christine J Brunson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2673326141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purple House Project PA Inc. 114 Staley Ave Collingdale PA 19023-1917 Ph: (267) 332-6141 | Purple House Project PA Inc. 2532 N Broad St Philadelphia PA 19132-4013 Ph: (480) 754-9564 |
| NPI Number | 1174359798 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174359798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | () | Secondary |
| 101YM0800X | Counselor - Mental Health | () | Secondary |
| 101YP2500X | Counselor - Professional | () | Secondary |
| 104100000X | Social Worker | () | Primary |
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