| The Men's Resource Center | |
|
1601 Walnut St Suite 1017 Philadelphia PA 19102-2944 | |
| (215) 564-0488 | |
| (215) 564-1245 |
| Full Name | The Men's Resource Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1601 Walnut St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Gerald Benjamin Evans (DIRECTOR) |
| Authorized Official Contact | 2155640488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Men's Resource Center 1601 Walnut St Suite 1017 Philadelphia PA 19102-2944 Ph: (215) 564-0488 | The Men's Resource Center 1601 Walnut St Suite 1017 Philadelphia PA 19102-2944 Ph: (215) 564-0488 |
| NPI Number | 1730292277 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730292277 | NPI | - | NPPES |
| 1012955860001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CWO12294 (Pennsylvania) | Primary |
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