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NPI Code Detail

MEDICARE: MATERNAL CHILD CONSORTIUM INC

MEDICARE: MATERNAL CHILD CONSORTIUM INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency112720PA
2251S00000XCommunity/Behavioral Health Agency112721PA
3251S00000XCommunity/Behavioral Health Agency121731PA
4322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility117031PA

Other Identifiers

General Provider Information

NPI Number : 1750406260
Entity Type Code : Organization
Provider Name (Legal Business Name) : MATERNAL CHILD CONSORTIUM INC
Provider Business Mailing Address
First Line : 800 CLARMONT AVE
Second Line : SUITE B
City : BENSALEM
State : PA
Zip : 19020-5705
Country : US
Telephone Number : 267-525-7000
Fax Number : 267-525-7010
Provider Business Practice Location Address
First Line : 800 CLARMONT AVE
Second Line : SUITE B
City : BENSALEM
State : PA
Zip : 19020-5705
Country : US
Telephone Number : 267-525-7000
Fax Number : 267-525-7010
Authorized Official
Title or Position : CEO
Name : MR. KENNETH W BROWNELL
Credential : RPH
Telephone Number : 267-525-7000
Provider Enumeration Date : 03/21/2007
Last Update Date : 09/11/2025

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Directions to “MATERNAL CHILD CONSORTIUM INC ” Practice Location

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