Provider First Line Business Practice Location Address:
801 MARKET STREET
Provider Second Line Business Practice Location Address:
COMMUNITY BEHAVIORAL HEALTH, 7TH FLOOR
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19107
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-413-3100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/18/2006