Nueva Vida Mental Health Center

NPI 1417002320 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1417002320
Enumeration Date 01/24/2007
Last Updated 09/10/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GODRHAT P GODRHAT
Position EXECUTIVE DIRECTOR
Phone (215) 229-8857
Fax (215) 229-0654
Practice Location
618 W LEHIGH AVE
PHILADELPHIA PA, 19133-2227, US
Phone (215) 229-8857
Fax (215) 229-0654
Business Location
618 W LEHIGH AVE
PHILADELPHIA PA, 19133-2227, US
Phone (215) 229-8857
Fax (215) 229-0654
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
Remove 1417002320 NPI Number
 

According to our database, Nueva Vida Mental Health Center NPI is 1417002320, taxonomy code is 251S00000X Nueva Vida Mental Health Center physically located at 618 W Lehigh Ave, Philadelphia PA, 19133-2227. NPI Number 1033115704 has the healthcare provider type.

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1417002320 NPI number is provided on an as is basis without warranty of any kind. 1417002320 is maintained by the National Plan & Provider Enumeration System. The contents of Nueva Vida Mental Health Center are for informational purposes only.