Organization Name: | UNITED CEREBRAL PALSY ASSOCIATION OF PHILADELPHIA & VICINITY |
NPI Number: | 1508986076 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIS A. DIBBLE (EXECUTIVE DIRECTOR) |
Mailing Address: | 102 E Mermaid Ln Philadelphia |
State: | PA US |
Postal Code: | 191183507 |
Phone Number: | 2152424200 |
Fax Number: | 2152474229 |
NPI Enumeration Date: | 03/30/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | 171040 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | PA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |