Organization · Type 2 NPI

The Wedge Medical Center, P.c.

Community/Behavioral Health Agency · Philadelphia, PA

NPI number 1396455945 Active

Practice location

5520 Chester Ave
Philadelphia, PA 19143-5328

Call (215) 276-3922 Map

Mailing address

6711 Old York Rd
Philadelphia, PA 19126-2841

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

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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NPI record

NPI: 1396455945
Entity type: Organization (Type 2)
Issued: Dec 5, 2022
Last updated: Dec 5, 2022
Status: Active
Subpart: Yes of The Wedge Medical Center, Inc

Other names

Wedge Recovery Centers · doing business as

Authorized official

Takisa S Gallman
VP Administrative Services
(215) 276-3922

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396455945

The Wedge Medical Center, P.c.'s National Provider Identifier is 1396455945, issued on Dec 5, 2022. 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 Dec 5, 2022.