| Sec | |
|
216 South Orange Street Media PA 19063 | |
| (610) 853-2898 | |
| (610) 853-0937 |
| Full Name | Sec |
|---|---|
| Speciality | Counselor |
| Location | 216 South Orange Street, Media, Pennsylvania |
| Authorized Official Name and Position | Elizabeth Roberts (DIRECTOR) |
| Authorized Official Contact | 6108532898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sec 216 South Orange Street Media PA 19063 Ph: (610) 853-2898 | Sec 216 South Orange Street Media PA 19063 Ph: (610) 853-2898 |
| NPI Number | 1548500820 |
|---|---|
| Provider Enumeration Date | 02/22/2013 |
| Last Update Date | 03/11/2020 |
| Certification Date | 03/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548500820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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