| Prise-iop | |
|
4329 Griscom St Phila PA 19124-3911 | |
| (215) 731-2042 | |
| Not Available |
| Full Name | Prise-iop |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4329 Griscom St, Phila, Pennsylvania |
| Authorized Official Name and Position | Shante Pennington (BILLER) |
| Authorized Official Contact | 2157312042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prise-iop 260 S Broad St 18th Floor Phila PA 19102-5021 Ph: () - | Prise-iop 4329 Griscom St Phila PA 19124-3911 Ph: (215) 731-2042 |
| NPI Number | 1851550529 |
|---|---|
| Provider Enumeration Date | 06/06/2008 |
| Last Update Date | 07/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851550529 | NPI | - | NPPES |
| 1000016640044 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Intercommunity Action, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4667 Umbria St, Phila, PA 19127 Phone: 215-508-6710 | |
S.g. Isaacs Enterprises, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 823 Magee Ave, Phila, PA 19111 Phone: 215-342-8690 | |
Intercommunity Action, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Salaignac St, Phila, PA 19128 Phone: 215-487-1330 | |
Inrercommunity Action, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 N Broad St, Temple Clinic, Phila, PA 19140 Phone: 215-487-1330 | |
Sami Khella Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 N 39th St # Mob320, Phila, PA 19104 Phone: 215-387-2052 Fax: 215-222-1856 | |
Intercommunity Action, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 Midvale Ave, Phila, PA 19129 Phone: 215-487-1330 | |
Intercommunity Action, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1526 Fairmount Ave, Phila, PA 19130 Phone: 215-487-1330 |