| Spectrum Specific Services Llc | |
|
924 Shelmire Ave Philadelphia PA 19111-3229 | |
| (215) 694-5475 | |
| Not Available |
| Full Name | Spectrum Specific Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 924 Shelmire Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Linda Mccullough (CEO) |
| Authorized Official Contact | 2156945475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Specific Services Llc 924 Shelmire Ave Philadelphia PA 19111-3229 Ph: (215) 694-5475 | Spectrum Specific Services Llc 924 Shelmire Ave Philadelphia PA 19111-3229 Ph: (215) 694-5475 |
| NPI Number | 1255736880 |
|---|---|
| Provider Enumeration Date | 10/24/2014 |
| Last Update Date | 09/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255736880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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