Organization · Type 2 NPI

Transition Phase III

Mental Health Clinic/Center (Including Community Mental Health Center) · Philadelphia, PA

NPI number 1720288913 Active

Practice location

3900 City Ave, Madison Bldg Suite 1207
Philadelphia, PA 19131-2908

Fax (215) 878-3532

Mailing address

3900 City Avenue, Madison Bldg Suite 1207
Philadelphia, PA 19131-0000

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1720288913

Transition Phase III's National Provider Identifier is 1720288913, issued on Jul 25, 2007. 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 Apr 13, 2010.