| Children's Crisis Treatment Center | |
|
1080 N Delaware Ave Suite 600 Philadelphia PA 19125-4330 | |
| (215) 496-0707 | |
| (215) 496-0742 |
| Full Name | Children's Crisis Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1080 N Delaware Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Antonio Valdes (EXECUTIVE DIRECTOR) |
| 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 1080 N Delaware Ave Suite 600 Philadelphia PA 19125-4330 Ph: (215) 496-0707 | Children's Crisis Treatment Center 1080 N Delaware Ave Suite 600 Philadelphia PA 19125-4330 Ph: (215) 496-0707 |
| NPI Number | 1326109836 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 03/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326109836 | NPI | - | NPPES |
| 100761197 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 121850 (Pennsylvania) | Primary |
| 251S00000X | Community/behavioral Health | 139510 (Pennsylvania) | Secondary |
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