PROJECT HOME NPI 1609122506

NPI Information

PROJECT HOME is a federally qualified health center (fqhc) clinic center in Philadelphia, PA. PROJECT HOME NPI is 1609122506. The provider is registered as an organization entity type.
The provider Other Name Is Stephen Klein Wellness Center.

The provider's business location address is:

2144 CECIL B MOORE AVE
PHILADELPHIA, PA
ZIP 19121-014
Phone: (215) 320-6187
Fax: (215) 235-4441

The provider's authorized official is Joanne Whitaker .
The authorized official title is Special Projects Coordinator and has the following contact phone number (610) 203-1367.

The CLIA number assigned to this NPI record is 39D2081055 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/28/2012 and was last updated on 7/27/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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