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The Attic Youth Center

Community/Behavioral Health in Philadelphia, PA. Organization (NPI-2).

NPI number1265697155
StatusActive
Last updated in NPPESJul 21, 2008

Details

NPI
1265697155
Entity type
Organization (NPI-2)
Legal business name
The Attic Youth Center
Organization subpart
No
Enumeration date
Jul 21, 2008
Last updated
Jul 21, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

255 S 16th St
Philadelphia, PA 19102-3303

Phone 215-545-4331 · Fax 215-545-5774

Mailing address

255 S 16th St
Philadelphia, PA 19102-3303

Phone 215-545-4331 · Fax 215-545-5774

Authorized official

Carrie Jacobs
Executive Director
2155454331

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community/Behavioral Health Agency providers in Philadelphia, PA

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