| Forensic Family Therapy Treatment Program | |
|
1200 Callowhill St Suite 104 Philadelphia PA 19123-3604 | |
| (215) 413-0141 | |
| (215) 413-0144 |
| Full Name | Forensic Family Therapy Treatment Program |
|---|---|
| Speciality | Counselor |
| Location | 1200 Callowhill St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Richard J Cohen (PRESIDENT) |
| Authorized Official Contact | 2159852501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forensic Family Therapy Treatment Program 260 S Broad Street 18th Floor Philadelphia PA 19102 Ph: (215) 985-2500 | Forensic Family Therapy Treatment Program 1200 Callowhill St Suite 104 Philadelphia PA 19123-3604 Ph: (215) 413-0141 |
| NPI Number | 1336289800 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336289800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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