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1489 Baltimore Pike Building #300, Suite #300 Springfield PA 19064-3958 | |
| (484) 472-7430 | |
| (484) 472-7718 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1489 Baltimore Pike, Springfield, Pennsylvania |
| Authorized Official Name and Position | Pamela Joann Ralph (CEO/MEDICAL DIRECTOR) |
| Authorized Official Contact | 4844727430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1489 Baltimore Pike Building #300, Suite #300 Springfield PA 19064-3958 Ph: (484) 472-7430 | 1489 Baltimore Pike Building #300, Suite #300 Springfield PA 19064-3958 Ph: (484) 472-7430 |
| NPI Number | 1235459520 |
|---|---|
| Provider Enumeration Date | 06/09/2010 |
| Last Update Date | 09/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235459520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Pennsylvania) | Primary |
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