institution
Dr Warren E Smith Community Mental Health Mental Retardation & Substan
Mental Health Clinic/Center (Including Community Mental Health Center) in Philadelphia, Pennsylvania
NPI 1528171790

Dr Warren E Smith Community Mental Health Mental Retardation & Substan is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Philadelphia, PA and is specialized in Mental Health (Including Community Mental Health Center). Dr Warren E Smith Community Mental Health Mental Retardation & Substan practices in Philadelphia, PA. The NPI Number for Dr Warren E Smith Community Mental Health Mental Retardation & Substan is 1528171790 and holds a License No. 185300 (Pennsylvania).

The current practice location address for Dr Warren E Smith Community Mental Health Mental Retardation & Substan is 1315 Windrim Avenue, Philadelphia, PA and can be reached out via phone at 215-456-2611 and via fax at 215-456-2729.

Location: 1315 Windrim Avenue, Philadelphia, PA, 19141-2710
institution
Provider Profile Details
NPI Number
1528171790
Provider Name
Dr Warren E Smith Community Mental Health Mental Retardation & Substan
Credential
Provider Entity Type
Organization
Address
1315 Windrim Avenue, Philadelphia, PA, 19141-2710
Phone Number
215-456-2611
Fax Number
215-456-2729
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0561531000 01 PA PERSONAL CHOICE
1000028030027 05 PA
1000028030029 05 PA
1000028030045 05 PA
1317149 01 PA MAGELLAN BEHAV HEALTH
3136579 01 PA AETNA US HEALTHCARE
1000028030022 05 PA
1000028030047 05 PA
1000028031004 05 PA
institution
Provider Business Practice Location Address Details
Address
1315 Windrim Avenue
City
State
Zip
19141-2710
Phone Number
215-456-2611
Fax Number
215-456-2729
person
Provider Business Mailing Address Details
Address
1315 Windrim Avenue
City
State
Zip
19141-2710
Phone Number
215-456-2611
Fax Number
215-456-2729
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
185300 (Pennsylvania)
Definition
Definition to come...
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