=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285649996
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARCHITECTURE & DESIGN CHS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/30/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 675 SANSOM ST
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19106-3300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-351-2900
-----------------------------------------------------
Fax | 215-351-3324
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 675 SANSOM ST
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19106-3300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-351-2900
-----------------------------------------------------
Fax | 215-351-3324
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | HEAD OF SCHOOLS
-----------------------------------------------------
Name | MR. PETER KOUNTZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 215-351-2900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------