John F. Kennedy Community Mh/Mr Center
Social Worker, Clinical in Philadelphia, PA. Organization (NPI-2).
NPI number1619088788
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1619088788
- Entity type
- Organization (NPI-2)
- Legal business name
- John F. Kennedy Community Mh/Mr Center
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | PA | Yes |
Practice location
112 N Broad StPhiladelphia, PA 19102-1510
Phone 215-568-0860 · Fax 215-568-0769
Mailing address
112 N Broad StPhiladelphia, PA 19102-1510
Phone 215-568-0860 · Fax 215-568-0769
Authorized official
Fari Thompson
Director
2155680860
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