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1 Winding Dr Ste 106 Philadelphia PA 19131-2907 | |
| (267) 787-6600 | |
| (267) 787-6819 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1 Winding Dr Ste 106, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Cindy Meyer (PRESIDENT & CEO) |
| Authorized Official Contact | 2623030580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
34700 Valley Rd Oconomowoc WI 53066-4500 Ph: (262) 646-1053 | 1 Winding Dr Ste 106 Philadelphia PA 19131-2907 Ph: (267) 787-6600 |
| NPI Number | 1699288142 |
|---|---|
| Provider Enumeration Date | 11/07/2017 |
| Last Update Date | 01/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699288142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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