Community Council for Mh/mr, Inc.
NPI #1649377003 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1649377003
- Entity Type
- Organization
- Organization Name
- Community Council for Mh/mr, Inc.
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4900 WYALUSING AVE
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19131-5127
- Phone
- (215) 473-7033
Authorized Official
- Name
- MR. EARLE BRADFORD
- Title
- CEO
- Phone
- (215) 473-7033
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
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