Organization Name: | GREATER PHILADELPHIA HEALTH ACTION, INC |
NPI Number: | 1144274077 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | D TINA FULTON (CREDENTIALING & PROVIDER ENROLLMENT) |
Mailing Address: | 1401 S 4th Street Medical Suite 4th Floor Phila |
State: | PA US |
Postal Code: | 19147 |
Phone Number: | 2153391079 |
Fax Number: | 2153391088 |
NPI Enumeration Date: | 05/22/2006 |
NPI Last Update Date: | 11/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |