Pan American Mental Health Services Inc

NPI 1093867772 - Clinic/Center - 261QM0801X

NPI Details
NPI 1093867772
Enumeration Date 01/16/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FREDERICK M FREDERICK
Position EXECUTIVE DIRECTOR
Phone (215) 457-1620
Fax (215) 457-0350
Practice Location
4519 N 5TH ST
PHILADELPHIA PA, 19140-2309, US
Phone (215) 457-1620
Fax (215) 457-0350
Business Location
4519 N 5TH ST
PHILADELPHIA PA, 19140-2309, US
Phone (215) 457-1620
Fax (215) 457-0350
Toxanomy
Taxonomy Code 261QM0801X
License State Pennsylvania
License Number 195600
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According to our database, Pan American Mental Health Services Inc NPI is 1093867772, taxonomy code is 261QM0801X and license number is 195600, license state is located at Pennsylvania. Pan American Mental Health Services Inc physically located at 4519 N 5th St, Philadelphia PA, 19140-2309. NPI Number 1033115704 has the healthcare provider type.

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1093867772 NPI number is provided on an as is basis without warranty of any kind. 1093867772 is maintained by the National Plan & Provider Enumeration System. The contents of Pan American Mental Health Services Inc are for informational purposes only.