| Boundless Behavioral Solutions Llc | |
|
4663 Stenton Ave Ste N115 Philadelphia PA 19144-3020 | |
| (267) 251-2555 | |
| Not Available |
| Full Name | Boundless Behavioral Solutions Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4663 Stenton Ave Ste N115, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | S Booker (LICENSED BEHAVIOR SPECIALIST) |
| Authorized Official Contact | 2672512555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boundless Behavioral Solutions Llc 3539 Germantown Ave Philadelphia PA 19140-4223 Ph: () - | Boundless Behavioral Solutions Llc 4663 Stenton Ave Ste N115 Philadelphia PA 19144-3020 Ph: (267) 251-2555 |
| NPI Number | 1033964713 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033964713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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