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NPI Code Detail

MEDICARE: CENTRALIZED COMPREHENSIVE HUMAN SERVICES, INC.

MEDICARE: CENTRALIZED COMPREHENSIVE HUMAN SERVICES, 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 Agency122000PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942359120
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRALIZED COMPREHENSIVE HUMAN SERVICES, INC.
Provider Business Mailing Address
First Line : 112 N BROAD ST
Second Line : RM 821
City : PHILADELPHIA
State : PA
Zip : 19102-1510
Country : US
Telephone Number : 215-568-0622
Fax Number : 215-568-0769
Provider Business Practice Location Address
First Line : 112 N BROAD ST
Second Line : RM 821
City : PHILADELPHIA
State : PA
Zip : 19102-1510
Country : US
Telephone Number : 215-568-0622
Fax Number : 215-568-0769
Authorized Official
Title or Position : VICE PRESIDENT - FINANCE
Name : ALICE G YOUNG
Credential : M.B.A. FINANCE
Telephone Number : 215-568-0622
Provider Enumeration Date : 01/09/2007
Last Update Date : 10/15/2013

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Directions to “CENTRALIZED COMPREHENSIVE HUMAN SERVICES, INC. ” Practice Location

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