Intercommunity Action, Inc. | |
6100 Stenton Ave Philadelphia PA 19138-1625 | |
(215) 487-1320 | |
Not Available |
Full Name | Intercommunity Action, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 6100 Stenton Ave, Philadelphia, Pennsylvania |
Authorized Official Name and Position | David Bolin (CEO/PRESIDENT) |
Authorized Official Contact | 2154870906 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Intercommunity Action, Inc. 6012 Ridge Ave Philadelphia PA 19128-1643 Ph: (215) 487-0906 | Intercommunity Action, Inc. 6100 Stenton Ave Philadelphia PA 19138-1625 Ph: (215) 487-1320 |
NPI Number | 1033541818 |
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Provider Enumeration Date | 08/05/2013 |
Last Update Date | 02/25/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033541818 | NPI | - | NPPES |
1000008361087 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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