| Children's Outreach Services Program | |
|
90 Rochelle Ave Philadelphia PA 19128-3808 | |
| (215) 508-3300 | |
| (215) 508-3304 |
| Full Name | Children's Outreach Services Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 90 Rochelle Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Rebecca Young (NETWORK OPERATIONS DIRECTOR) |
| Authorized Official Contact | 2675973600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Outreach Services Program 4700 Wissahickon Ave Suite 118, Building D Philadelphia PA 19144-4248 Ph: (267) 597-3600 | Children's Outreach Services Program 90 Rochelle Ave Philadelphia PA 19128-3808 Ph: (215) 508-3300 |
| NPI Number | 1649564402 |
|---|---|
| Provider Enumeration Date | 06/08/2011 |
| Last Update Date | 06/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649564402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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