| Interamerican Health | |
|
511 W Courtland St Philadelphia PA 19140-1404 | |
| (215) 356-7586 | |
| (215) 425-6852 |
| Full Name | Interamerican Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 511 W Courtland St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Frederick Ramirez (PRESIDENT,CEO) |
| Authorized Official Contact | 2153567586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interamerican Health 430 W Annsbury St Philadelphia PA 19140-1539 Ph: (215) 356-7586 | Interamerican Health 511 W Courtland St Philadelphia PA 19140-1404 Ph: (215) 356-7586 |
| NPI Number | 1356605455 |
|---|---|
| Provider Enumeration Date | 07/03/2012 |
| Last Update Date | 07/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356605455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 138160 (Pennsylvania) | Primary |
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