Healthcare Provider Details

I. General information

NPI: 1891973624
Provider Name (Legal Business Name): WES HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2008
Last Update Date: 02/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 WINDRIM AVE
PHILADELPHIA PA
19141-2710
US

IV. Provider business mailing address

1315 WINDRIM AVE
PHILADELPHIA PA
19141-2710
US

V. Phone/Fax

Practice location:
  • Phone: 215-455-3900
  • Fax: 215-754-0123
Mailing address:
  • Phone: 215-455-3900
  • Fax: 215-754-0123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHERI SLOAN-MOORE
Title or Position: SUPERVISOR CRISIS/MATES UNIT
Credential: MSW
Phone: 215-456-2668