Individual provider · Type 1 NPI

Juanita M. Campbell, LBSC

Community/Behavioral Health Agency · Philadelphia, PA

NPI number 1003399601 Active

Practice location

2911 S 67th St
Philadelphia, PA 19142-2604

Mailing address

2625 S 80th St
Philadelphia, PA 19153-1734

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XBH001975 (PA)
Community/Behavioral Health Agency Primary 251S00000XBH001975 (PA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1003399601

Juanita M. Campbell, LBSC's National Provider Identifier is 1003399601, issued on Sep 10, 2018. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 10, 2018.