| Nphs Gmc D & A Partial Hospitalization | |
|
801 W Girard Ave Phila PA 19122-4212 | |
| (215) 787-2387 | |
| (215) 787-2115 |
| Full Name | Nphs Gmc D & A Partial Hospitalization |
|---|---|
| Speciality | Clinic/center |
| Location | 801 W Girard Ave, Phila, Pennsylvania |
| Authorized Official Name and Position | George J Walmsley (PRESIDENT AND CEO) |
| Authorized Official Contact | 2157879001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nphs Gmc D & A Partial Hospitalization 801 W Girard Ave Phila PA 19122-4212 Ph: (215) 787-2387 | Nphs Gmc D & A Partial Hospitalization 801 W Girard Ave Phila PA 19122-4212 Ph: (215) 787-2387 |
| NPI Number | 1619177961 |
|---|---|
| Provider Enumeration Date | 07/24/2007 |
| Last Update Date | 07/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619177961 | NPI | - | NPPES |
| 1007276960106 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 711301 (Pennsylvania) | Primary |
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