Organization · Type 2 NPI

Resources Form Human Development

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

NPI number 1962532945 Active

Practice location

3471 Bowman St
Philadelphia, PA 19129-1508

Call (215) 387-4288 Map

Fax (215) 387-4360

Mailing address

4700 Wissahickon Ave
Philadelphia, PA 19144-4248

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X1000017080438 (PA)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1962532945

Resources Form Human Development's National Provider Identifier is 1962532945, issued on Mar 7, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 22, 2020.