| Inspired And Free | |
|
1300 S Columbus Blvd Ste 1044 Philadelphia PA 19147-5529 | |
| (484) 301-0870 | |
| Not Available |
| Full Name | Inspired And Free |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1300 S Columbus Blvd Ste 1044, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Dalesa Martinez (OWNER) |
| Authorized Official Contact | 4843010870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspired And Free 1111 Jefferson Ave Woodlyn PA 19094-1313 Ph: (215) 459-1613 | Inspired And Free 1300 S Columbus Blvd Ste 1044 Philadelphia PA 19147-5529 Ph: (484) 301-0870 |
| NPI Number | 1972273431 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 04/25/2022 |
| Certification Date | 04/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972273431 | NPI | - | NPPES |
| 1457980187 | Other | PA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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