| Children's Crisis Treatment Center | |
|
417 N 8th St 402 Philadelphia PA 19123-3916 | |
| (215) 496-0707 | |
| (215) 627-9042 |
| Full Name | Children's Crisis Treatment Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 417 N 8th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Andrea Ettingoff (DIRECTOR OF CLINICAL AFFAIRS) |
| Authorized Official Contact | 2154960707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Crisis Treatment Center 238 S Camac St 3b Philadelphia PA 19107-7019 Ph: (267) 234-1833 | Children's Crisis Treatment Center 417 N 8th St 402 Philadelphia PA 19123-3916 Ph: (215) 496-0707 |
| NPI Number | 1013124189 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 07/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013124189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CWO15024 (Pennsylvania) | Primary |
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