Organization · Type 2 NPI
Integrated Community Health Network, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Philadelphia, PA
NPI number
1114895646
Active
Practice location
6523 Elmwood Ave
Philadelphia, PA 19142-2816
Fax (215) 883-4476
Mailing address
200 S Broad St Ste 610
Philadelphia, PA 19102-3813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1114895646
Integrated Community Health Network, LLC's National Provider Identifier is 1114895646, issued on Oct 27, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 27, 2025.