| Philadelphia Consulation Center | |
|
313 S 16th St Philadelphia PA 19102-4908 | |
| (215) 732-8244 | |
| (215) 732-8454 |
| Full Name | Philadelphia Consulation Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 313 S 16th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Lisa Correale (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2157328244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philadelphia Consulation Center 313 S 16th St Philadelphia PA 19102-4908 Ph: (215) 732-8244 | Philadelphia Consulation Center 313 S 16th St Philadelphia PA 19102-4908 Ph: (215) 732-8244 |
| NPI Number | 1922162130 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 10/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922162130 | NPI | - | NPPES |
| 1007645820002 | Medicaid | PA |
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