| Spilove Philadelphia, Llc | |
|
1601 Walnut St Ste 1007 Philadelphia PA 19102-2906 | |
| (484) 532-3447 | |
| Not Available |
| Full Name | Spilove Philadelphia, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1601 Walnut St Ste 1007, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Melanie Taylor (DIRECTOR) |
| Authorized Official Contact | 4845323447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spilove Philadelphia, Llc 1601 Walnut St Ste 1007 Philadelphia PA 19102-2906 Ph: (484) 532-3447 | Spilove Philadelphia, Llc 1601 Walnut St Ste 1007 Philadelphia PA 19102-2906 Ph: (484) 532-3447 |
| NPI Number | 1760002000 |
|---|---|
| Provider Enumeration Date | 04/16/2020 |
| Last Update Date | 04/16/2020 |
| Certification Date | 04/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760002000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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