| Empowerment Resource Associates, Inc. | |
|
1733 Spring Garden St Fl 2 Philadelphia PA 19130-3915 | |
| (215) 564-0680 | |
| (215) 564-0680 |
| Full Name | Empowerment Resource Associates, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1733 Spring Garden St Fl 2, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Judy Henderson (EXECTIVE DIRECTOR AND PRESIDENT) |
| Authorized Official Contact | 2155640680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerment Resource Associates, Inc. 1733 Spring Garden St Fl 2 Philadelphia PA 19130-3915 Ph: (215) 564-0680 | Empowerment Resource Associates, Inc. 1733 Spring Garden St Fl 2 Philadelphia PA 19130-3915 Ph: (215) 564-0680 |
| NPI Number | 1992889562 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 07/23/2008 |
| Medicare PECOS PAC ID | 5395747364 |
|---|---|
| Medicare Enrollment ID | O20070203000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992889562 | NPI | - | NPPES |
| 01791830 | Other | PA | DEPT. OF PUBLIC WELFARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 132910 (Pennsylvania) | Primary |
| Provider Name | Arthur C Hochberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104841386 PECOS PAC ID: 3072587047 Enrollment ID: I20040825000078 |
| Provider Name | Buster Deangelo Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932290251 PECOS PAC ID: 3971554791 Enrollment ID: I20050209000089 |
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