| NPI | 1922162130 |
|---|---|
| Other Name | PHILADELPHIA CONSULATION CENTER |
| Entity Type | Organization |
| Authorized Contact | LISA CORREALE Executive Director 215-732-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 122030) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TH0004X Psychologist, Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2017-10-09 |