Intercommunity Action, INC.
Community/Behavioral Health in Philadelphia, PA. Organization (NPI-2).
NPI number1124162201
StatusActive
Last updated in NPPESMar 7, 2008
Details
- NPI
- 1124162201
- Entity type
- Organization (NPI-2)
- Legal business name
- Intercommunity Action, INC.
- Organization subpart
- No
- Enumeration date
- Feb 20, 2007
- Last updated
- Mar 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
481 Krams AvePhiladelphia, PA 19128-3311
Phone 215-509-1900
Mailing address
6012 Ridge AvePhiladelphia, PA 19128-1643
Phone 215-487-0906
Authorized official
David Bolin
Executive Director
2154870906
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