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2001 Providence Ave Chester PA 19013-5504 | |
| (610) 876-9000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2001 Providence Ave, Chester, Pennsylvania |
| Authorized Official Name and Position | Steve Filton (CFO SR VP) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2001 Providence Ave Chester PA 19013-5504 Ph: (610) 876-9000 | 2001 Providence Ave Chester PA 19013-5504 Ph: (610) 876-9000 |
| NPI Number | 1841263407 |
|---|---|
| Provider Enumeration Date | 02/13/2006 |
| Last Update Date | 07/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841263407 | NPI | - | NPPES |
| 1007425670001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 237042 (Pennsylvania) | Primary |
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