Citywide Community Counseling Services,

NPI 1114341328 - Clinic/Center - 261QM0850X

NPI Details
NPI 1114341328
Enumeration Date 02/07/2014
Last Updated 02/07/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MODESTA MODESTA
Position CHEIF OF OPERATION
Phone (215) 921-1419
Fax
Practice Location
5807 BUSTLETON AVENUE
PHILADELPHIA PA, 19149, US
Phone (215) 921-1419
Fax
Business Location
5807 BUSTLETON AVENUE
PHILADELPHIA PA, 19149, US
Phone (215) 921-1419
Fax
Toxanomy
Taxonomy Code 261QM0850X
License State
License Number
Remove 1114341328 NPI Number
 

According to our database, Citywide Community Counseling Services, NPI is 1114341328, taxonomy code is 261QM0850X Citywide Community Counseling Services, physically located at 5807 Bustleton Avenue, Philadelphia PA, 19149. NPI Number 1033115704 has the healthcare provider type.

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1114341328 NPI number is provided on an as is basis without warranty of any kind. 1114341328 is maintained by the National Plan & Provider Enumeration System. The contents of Citywide Community Counseling Services, are for informational purposes only.