| Rhd Cedar Park | |
|
4926 Baltimore Ave Philadelphia PA 19143-3301 | |
| (215) 724-6380 | |
| Not Available |
| Full Name | Rhd Cedar Park |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4926 Baltimore Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Brian Matthew Rhodes (CEO) |
| Authorized Official Contact | 2159510300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhd Cedar Park 4700 Wissahickon Ave Suite 126 Philadelphia PA 19144-4248 Ph: () - | Rhd Cedar Park 4926 Baltimore Ave Philadelphia PA 19143-3301 Ph: (215) 724-6380 |
| NPI Number | 1376911537 |
|---|---|
| Provider Enumeration Date | 09/04/2015 |
| Last Update Date | 06/20/2024 |
| Certification Date | 06/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376911537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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