| Joseph J. Peters Institute | |
|
100 South Broad Street 17th Floor Philadelphia PA 19110 | |
| (215) 701-1560 | |
| (215) 701-1572 |
| Full Name | Joseph J. Peters Institute |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 South Broad Street, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Theodore E. Glackman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2157011560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph J. Peters Institute 100 South Broad Street 17th Floor Philadelphia PA 19110 Ph: (215) 701-1560 | Joseph J. Peters Institute 100 South Broad Street 17th Floor Philadelphia PA 19110 Ph: (215) 701-1560 |
| NPI Number | 1023177144 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023177144 | NPI | - | NPPES |
| 1007562120008 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 117040 (Pennsylvania) | Primary |
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