TRANSITION PHASE III NPI 1720288913

NPI Information

TRANSITION PHASE III is a mental health (including community mental health center) clinic center in Philadelphia, PA. TRANSITION PHASE III NPI is 1720288913. The provider is registered as an organization entity type.

The provider's business location address is:

3900 CITY AVE
MADISON BLDG SUITE 1207
PHILADELPHIA, PA
ZIP 19131-908
Phone: (215) 878-3052
Fax: (215) 878-3532

The provider's authorized official is Jo Benait .
The authorized official title is Ceo Group Administrator and has the following contact phone number (215) 878-3052.

The enumeration date for this NPI number is 7/25/2007 and was last updated on 4/13/2010.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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