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Mr. Tazhe Cooper, MED
Community/Behavioral Health Agency in Philadelphia, Pennsylvania
NPI 1972015113

Tazhe Cooper is a Community/Behavioral Health Agency based in Philadelphia, PA. Tazhe Cooper practices in Philadelphia, PA and has the professional credentials of MED. The NPI Number for Tazhe Cooper is 1972015113 and holds a License No. BH003390 (Pennsylvania).

The current practice location address for Tazhe Cooper is 610 Winton St, Philadelphia, PA and can be reached out via phone at 267-340-6717.

Location: 610 Winton St, Philadelphia, PA, 19148-3240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972015113
Provider Name
Tazhe Cooper
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
610 Winton St, Philadelphia, PA, 19148-3240
Phone Number
267-340-6717
Fax Number
Provider Enumeration Date
10/27/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
610 Winton St
City
Philadelphia
State
Pennsylvania
Zip
19148-3240
Phone Number
267-340-6717
Fax Number
person
Provider Business Mailing Address Details
Address
610 Winton St
City
Philadelphia
State
Pennsylvania
Zip
19148-3240
Phone Number
267-340-6717
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
BH003390 (Pennsylvania)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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