| Make It Happen Phily Inc | |
|
1217 Herbert St Phila PA 19124-2934 | |
| (215) 917-7647 | |
| Not Available |
| Full Name | Make It Happen Phily Inc |
|---|---|
| Speciality | Private Vehicle |
| Location | 1217 Herbert St, Phila, Pennsylvania |
| Authorized Official Name and Position | Cheryl Harris (CEO) |
| Authorized Official Contact | 2159177647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Make It Happen Phily Inc 1217 Herbert St Phila PA 19124-2934 Ph: (215) 917-7647 | Make It Happen Phily Inc 1217 Herbert St Phila PA 19124-2934 Ph: (215) 917-7647 |
| NPI Number | 1992335780 |
|---|---|
| Provider Enumeration Date | 01/21/2020 |
| Last Update Date | 11/16/2022 |
| Certification Date | 11/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992335780 | NPI | - | NPPES |
| 1040622290001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 347C00000X | Private Vehicle | (* (Not Available)) | Primary |
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