Spilove Philadelphia, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Philadelphia, PA. Organization (NPI-2).
NPI number1760002000
StatusActive
Last updated in NPPESApr 16, 2020
Details
- NPI
- 1760002000
- Entity type
- Organization (NPI-2)
- Legal business name
- Spilove Philadelphia, LLC
- Organization subpart
- Yes
- Enumeration date
- Apr 16, 2020
- Certification date
- Apr 16, 2020
- Last updated
- Apr 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
1601 Walnut St Ste 1007Philadelphia, PA 19102-2906
Phone 484-532-3447
Mailing address
1601 Walnut St Ste 1007Philadelphia, PA 19102-2906
Phone 484-532-3447
Authorized official
Melanie Taylor
Director
4845323447
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