| To Our Children's Future With Health Inc. | |
|
4035 West Powelton Avenue Philadelphia PA 19104 | |
| (215) 222-2161 | |
| (215) 474-0451 |
| Full Name | To Our Children's Future With Health Inc. |
|---|---|
| Speciality | Pediatrics |
| Location | 4035 West Powelton Avenue, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Robin L. Foster-drain (PRESIDENT/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2159151706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| To Our Children's Future With Health Inc. 1914 North 63rd Street Philadelphia PA 19151-3318 Ph: (215) 879-7740 | To Our Children's Future With Health Inc. 4035 West Powelton Avenue Philadelphia PA 19104 Ph: (215) 222-2161 |
| NPI Number | 1699067256 |
|---|---|
| Provider Enumeration Date | 05/13/2011 |
| Last Update Date | 05/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699067256 | NPI | - | NPPES |
| 00105466000009 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW015104 (Pennsylvania) | Secondary |
| 208000000X | Pediatrics | MD039729-L (Pennsylvania) | Primary |
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