Organization · Type 2 NPI

Embolden Community Allies

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Philadelphia, PA

NPI number 1104463736 Active

Practice location

4000 Gypsy Ln Unit 204
Philadelphia, PA 19129-5405

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1104463736

Embolden Community Allies's National Provider Identifier is 1104463736, issued on Dec 2, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 2, 2019.