| Willow Mental Health Llc | |
|
1912 Fernon St Philadelphia PA 19145-1420 | |
| (617) 750-8311 | |
| Not Available |
| Full Name | Willow Mental Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1912 Fernon St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Jonathan C Levine (OWNER/FOUNDER) |
| Authorized Official Contact | 6177508311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Mental Health Llc 1912 Fernon St Philadelphia PA 19145-1420 Ph: () - | Willow Mental Health Llc 1912 Fernon St Philadelphia PA 19145-1420 Ph: (617) 750-8311 |
| NPI Number | 1053116707 |
|---|---|
| Provider Enumeration Date | 02/17/2025 |
| Last Update Date | 02/17/2025 |
| Certification Date | 02/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053116707 | NPI | - | NPPES |
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