RAICES PASTORAL COUNSELING AND HUMAN DEVELOPMENT CENTER, INC


Address: 6001 Colgate St, Philadelphia, PA 19111-6004
Phone: 2672536588

RAICES PASTORAL COUNSELING AND HUMAN DEVELOPMENT CENTER, INC (NPI# 1720429608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720429608
Entity Type Organization
Organization Name RAICES PASTORAL COUNSELING AND HUMAN DEVELOPMENT CENTER, INC
Practice Address 6001 Colgate St
Philadelphia
PA 19111-6004
Mailing Address 512 Hamilton St Ste 200
Allentown
PA 18101-1505
Practice Telephone 2672536588
Mailing Telephone 2672536588
Enumeration Date 2013-07-09
Last Update Date 2020-02-10
Authorized Official Name DR. ERIK EDGARDO JUAREZ MENDEZ (CEO)
Authorized Official Telephone 2672536588
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 6001 COLGATE ST
City PHILADELPHIA
State PA
Zip Code 19111-6004

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1750926028 Forward Psychotherapy, LLC Clinic/Center 100 S Broad St Ste 920, Philadelphia, PA 19110-1016 2019-11-11
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1306376280 Port Richmond Counseling Practices Clinic/Center 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 2017-06-14
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1659658938 Family Behavioral and Mental Health Center, Inc. Clinic/Center 3040 Kensington Ave, Philadelphia, PA 19134-2416 2011-11-14
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Competitor

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City PHILADELPHIA
Zip Code 19111

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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