| Vitalistic Therapeutic Center | |
|
1406 W Hamilton St Allentown PA 18102-4225 | |
| (610) 433-4383 | |
| Not Available |
| Full Name | Vitalistic Therapeutic Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1406 W Hamilton St, Allentown, Pennsylvania |
| Authorized Official Name and Position | Naomi Grossman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6108617570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalistic Therapeutic Center 1406 W Hamilton St Allentown PA 18102-4225 Ph: () - | Vitalistic Therapeutic Center 1406 W Hamilton St Allentown PA 18102-4225 Ph: (610) 433-4383 |
| NPI Number | 1003965088 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003965088 | NPI | - | NPPES |
| 01221740 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 232260 (Pennsylvania) | Primary |
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