| John F. Kennedy Community Mh/mr Center | |
|
112 N Broad St Philadelphia PA 19102-1510 | |
| (215) 568-0860 | |
| (215) 568-0769 |
| Full Name | John F. Kennedy Community Mh/mr Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 112 N Broad St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Fari Thompson (DIRECTOR) |
| Authorized Official Contact | 2155680860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John F. Kennedy Community Mh/mr Center 112 N Broad St Philadelphia PA 19102-1510 Ph: (215) 568-0860 | John F. Kennedy Community Mh/mr Center 112 N Broad St Philadelphia PA 19102-1510 Ph: (215) 568-0860 |
| NPI Number | 1619088788 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619088788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Pennsylvania) | Primary |
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