| Communiyt Council | |
|
3001 N 27th St Philadelphia PA 19132-1215 | |
| (215) 227-5038 | |
| (215) 227-4777 |
| Full Name | Communiyt Council |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3001 N 27th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | James Paige (CHIEF INFORMATION OFFICER) |
| Authorized Official Contact | 2154737033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Communiyt Council 4900 Wyalusing Ave Philadelphia PA 19131-5127 Ph: (215) 473-7033 | Communiyt Council 3001 N 27th St Philadelphia PA 19132-1215 Ph: (215) 227-5038 |
| NPI Number | 1013030279 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 03/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013030279 | NPI | - | NPPES |
| 1000049600120 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 121630 (Pennsylvania) | Primary |
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