| Dream Big 1 Continuum Of Care | |
|
100 E Penn Sq Ste 400 Philadelphia PA 19107-3310 | |
| (267) 857-9734 | |
| (909) 443-9497 |
| Full Name | Dream Big 1 Continuum Of Care |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 100 E Penn Sq Ste 400, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Latasha Carr (PRESIDENT/OWNER) |
| Authorized Official Contact | 2524707236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dream Big 1 Continuum Of Care 2105 Presbyterian Ln # 1002 Kinston NC 28501-2265 Ph: (252) 470-7236 | Dream Big 1 Continuum Of Care 100 E Penn Sq Ste 400 Philadelphia PA 19107-3310 Ph: (267) 857-9734 |
| NPI Number | 1770353914 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770353914 | NPI | - | NPPES |
| 1039891100001 | Medicaid | PA |
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