Organization · Type 2 NPI

Merakey Idd Philadelphia

Mental Illness Community Based Residential Treatment Facility · Philadelphia, PA

NPI number 1710160460 Active

Practice location

6901 Old York Rd Apt D201
Philadelphia, PA 19126-2228

Call (215) 224-7974 Map

Fax (215) 320-2041

Mailing address

4700 Wissahickon Ave, Suite 100
Philadelphia, PA 19144-4248

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	126430 (PA)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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NPI record

NPI: 1710160460
Entity type: Organization (Type 2)
Issued: Dec 17, 2007
Last updated: Apr 19, 2018
Status: Active

Other names

<unavail>
The Association for Independent Growth, Inc · former legal business name
The Association for Independent Growth, Inc · former legal business name

Authorized official

Mr. Norman E Tilson
Corp Sr. Director of Business Ops
(215) 836-3131

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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 1710160460

Merakey Idd Philadelphia's National Provider Identifier is 1710160460, issued on Dec 17, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 19, 2018.