Tree Of Life Professional Behavorial Health Services in Philadelphia - Adolescent And Children Mental Health

Tree Of Life Professional Behavorial Health Services - NPI 1639299167

Tree Of Life Professional Behavorial Health Services is a Adolescent And Children Mental Health in Philadelphia, Pennsylvania. Tree Of Life Professional Behavorial Health Services practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Tree Of Life Professional Behavorial Health Services is 1639299167. The last update date is 2009-01-28.

Tree Of Life Professional Behavorial Health Services's current location address is 7048 Castor Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2155335433 and fax number 2155335432. The mailing address for Tree Of Life Professional Behavorial Health Services is 7048 Castor Ave, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tree Of Life Professional Behavorial Health Services
Address 7048 Castor Ave, Philadelphia, Pennsylvania
Phone Number 2155335433
Fax Number 2155335432
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Tuleja L Ada
Credentials MSW
Telephone Number 2155335433

NPI Number Detail

NPI Number 1639299167
Provider Enumeration Date 2007-03-29
Last Updated Date 2009-01-28

Provider Mailing Address Detail

Address 7048 Castor Ave
City Philadelphia
State Pennsylvania (PA)
Post Code 191491713
Phone Number 2155335433
Fax Number 2155335432

Provider's Primary Taxonomy Detail

Speciality Adolescent And Children Mental Health
Taxonomy 261Qm0855X
Licence No 132210
Definition:
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1022413650001 PA --

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FAQs about Tree Of Life Professional Behavorial Health Services

What is the unique 10-digit identification code assigned to Tree Of Life Professional Behavorial Health Services by the Centers for Medicare & Medicaid Services?

The Tree Of Life Professional Behavorial Health Services has been issued the NPI (National Provider Identifier) 1639299167, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Tree Of Life Professional Behavorial Health Services is located?

The Tree Of Life Professional Behavorial Health Services is situated at the following address: 7048 Castor Ave, Philadelphia, PA, 191491713.

What is the Tree Of Life Professional Behavorial Health Services's specialty and taxonomy code?

The Tree Of Life Professional Behavorial Health Services's specialty is Adolescent And Children Mental Health, and the corresponding taxonomy code is 261Qm0855X.

On what date did the Centers for Medicare & Medicaid Services issue the 1639299167 to Tree Of Life Professional Behavorial Health Services?

The Tree Of Life Professional Behavorial Health Services received its 1639299167 assignment from the Centers for Medicare & Medicaid Services on 2007-03-29.

As of what date were the Tree Of Life Professional Behavorial Health Services's details last updated?

The information pertaining to the Tree Of Life Professional Behavorial Health Services, including its address, specialty, and other details, was most recently updated on 2009-01-28.

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