NPI: 1811530512
Provider Name: TOWER DREXEL ACADEMIC MEDICAL GROUP LLC
Doing Business As: TOWER DREXEL ACADEMIC MEDICAL GROUP OUTPATIENT PSYCHIATRIC CLINIC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
1427 VINE ST FL 1
PHILADELPHIA, PA
ZIP 19102
Phone: (610) 743-6049
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TOWER DREXEL ACADEMIC MEDICAL GROUP LLC is a mental health (including community mental health center) clinic center in Philadelphia, PA. TOWER DREXEL ACADEMIC MEDICAL GROUP LLC NPI is 1811530512. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tower Drexel Academic Medical Group Outpatient Psychiatric Clinic.
The provider's business location address is:
1427 VINE ST FL 1
PHILADELPHIA, PA
ZIP 19102-031
Phone: (610) 743-6049
The provider's authorized official is Robert Ehinger .
The authorized official title is Sr Vp Financial Operations and has the following contact phone number (484) 628-4681.
The enumeration date for this NPI number is 10/25/2019 and was last updated on 11/20/2021.