| The Place Of Refuge | |
|
2938 N 5th St Philadelphia PA 19133-2801 | |
| (267) 909-8550 | |
| (267) 909-8552 |
| Full Name | The Place Of Refuge |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2938 N 5th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Bryan Dickey (EXECUTIVE DIRECTOR (INTERIM)) |
| Authorized Official Contact | 2679098550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Place Of Refuge 2938 N 5th St Philadelphia PA 19133-2801 Ph: (267) 909-8550 | The Place Of Refuge 2938 N 5th St Philadelphia PA 19133-2801 Ph: (267) 909-8550 |
| NPI Number | 1508051368 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508051368 | NPI | - | NPPES |
| 1022577860001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | IN PROCESS (Pennsylvania) | Primary |
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