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NPI Code Detail

MEDICARE: PATH (PEOPLE ACTING TO HELP), INC.

MEDICARE: PATH (PEOPLE ACTING TO HELP), 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
1320800000XMental Illness Community Based Residential Treatment Facility125170PA

General Provider Information

NPI Number : 1922463355
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATH (PEOPLE ACTING TO HELP), INC.
Provider Business Mailing Address
First Line : 8220 CASTOR AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-2729
Country : US
Telephone Number : 215-728-4600
Fax Number : 215-745-6511
Provider Business Practice Location Address
First Line : 2340 BENSON ST # 1
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-2504
Country : US
Telephone Number : 215-728-4600
Fax Number : 215-745-6511
Authorized Official
Title or Position : HEALTH INFORMATION SYSTEMS DIRECTOR
Name : DONNA BOURGEOIS
Credential :
Telephone Number : 215-728-4610
Provider Enumeration Date : 12/30/2015
Last Update Date : 12/30/2015

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Directions to “PATH (PEOPLE ACTING TO HELP), INC. ” Practice Location

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