Transition Phase Iii in Philadelphia - Mental Health (including Community Mental Health Center)
Transition Phase Iii - NPI 1720288913
Transition Phase Iii is a Mental Health (including Community Mental Health Center) in Philadelphia, Pennsylvania. Transition Phase Iii practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Transition Phase Iii is 1720288913. The last update date is 2010-04-13.
Transition Phase Iii's current location address is 3900 City Avenue, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158783052 and fax number 2158783532. The mailing address for Transition Phase Iii is 3900 City Avenue, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Transition Phase Iii |
|---|---|
| Address | 3900 City Avenue, Philadelphia, Pennsylvania |
| Phone Number | 2158783052 |
| Fax Number | 2158783532 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO GROUP |
|---|---|
| Authorized Official Name | Benait Jo |
| Credentials | PSYD |
| Telephone Number | 2158783052 |
NPI Number Detail
| NPI Number | 1720288913 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2010-04-13 |
Provider Mailing Address Detail
| Address | 3900 City Avenue |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191310000 |
| Phone Number | 2158783052 |
| Fax Number | 2158783532 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1019569460001 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Transition Phase Iii by the Centers for Medicare & Medicaid Services (CMS)?
The Transition Phase Iii has been assigned the NPI (National Provider Identifier) 1720288913. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Transition Phase Iii is physically located?
The Transition Phase Iii is situated at the following address: 3900 City Avenue, Philadelphia, PA 191310000.
What is Transition Phase Iii's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Transition Phase Iii is Mental Health (including Community Mental Health Center), and the corresponding taxonomy classification code for this specialized field is 261Qm0801X.
On what date did Transition Phase Iii receive its 1720288913 assignment from the Centers for Medicare & Medicaid Services?
The Transition Phase Iii was assigned its 1720288913 on 2007-07-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Transition Phase Iii, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Transition Phase Iii, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-04-13.
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