| Purposeful Change, Inc | |
|
9874 Ferndale St Philadelphia PA 19115-1941 | |
| (267) 278-4063 | |
| Not Available |
| Full Name | Purposeful Change, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9874 Ferndale St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Paulette Chobot (OWNER) |
| Authorized Official Contact | 2672784063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purposeful Change, Inc 9874 Ferndale St Philadelphia PA 19115-1941 Ph: (267) 278-4063 | Purposeful Change, Inc 9874 Ferndale St Philadelphia PA 19115-1941 Ph: (267) 278-4063 |
| NPI Number | 1902499924 |
|---|---|
| Provider Enumeration Date | 02/19/2021 |
| Last Update Date | 02/19/2021 |
| Certification Date | 02/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902499924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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