THE PHILADELPHIA CHARTER SCHOOL FOR THE ARTS AND SCIENCES AT H.R. EDMU


Address: 1197 Haworth Street, Phiadelphia, PA 19124
Phone: 2155372520

THE PHILADELPHIA CHARTER SCHOOL FOR THE ARTS AND SCIENCES AT H.R. EDMU (NPI# 1306289624) 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) 1306289624
Entity Type Organization
Organization Name THE PHILADELPHIA CHARTER SCHOOL FOR THE ARTS AND SCIENCES AT H.R. EDMU
Practice Address 1197 Haworth Street
Phiadelphia
PA 19124
Mailing Address 13000 Lincoln Drive West
Suite 302
Marlton
NJ 08053
Practice Telephone 2155372520
Practice Fax Number 2155372861
Mailing Telephone 8565051300
Mailing Fax Number 8565051300
Enumeration Date 2013-04-17
Last Update Date 2013-04-17
Authorized Official Name MS. SUSAN FEOLA (CEO/PRINCIPAL)
Authorized Official Telephone 2155372520
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YS0200X Counselor
Specialization: School
Behavioral Health & Social Service Providers

Office Location

Street Address 1197 HAWORTH STREET
City PHIADELPHIA
State PA
Zip Code 19124

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1922507987 Xavier Sergio Henriquez Counselor 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 2018-02-06
1558881581 Isabel Cristina Castillo Hernandez Pediatrics 4500-10, Apt 201b, Philadelphia, PA 19124 2017-06-21
1952843732 Patrick Grugan Social Worker Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 2016-11-10
1811340482 Katarzyna Liwski Psychiatry & Neurology 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 2016-07-19
1851769327 Aleka Kostouros Social Worker Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 2015-09-14
1407230378 Sara Bachani Psychiatry & Neurology 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 2015-07-10
1215327051 Alyssa Renee Kirk Counselor 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 2015-02-02
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Taxonomy Information

Taxonomy Code 101YS0200X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization School

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1104354240 Linda Alene Gates Counselor 589 Union Ave, Pittsburgh, PA 15202-2958 2017-06-02
1154871531 Sarah Kodish-eskind Counselor 1340 Moore St, Philadelphia, PA 19148-1528 2016-10-10
1942750336 Karen Good Counselor 1 S Kauffman Aly, Manheim, PA 17545-1431 2016-10-10
1922555077 Lynda Finan Counselor 474 Grove Street, Wayne Highlands School District, Honesdale, PA 18431-6605 2016-09-07
1033665765 Henry Lewis Counselor 210 Felton Ave, Sharon Hill, PA 19079-2105 2016-09-01
1104274208 Erin Mccarthy Mcmonagle Counselor 1079 Maykut Ave, Collegeville, PA 19426-2434 2016-05-30
1114382322 Christen Rose Stricker Counselor 29 Black Matt Rd, Douglassville, PA 19518-9705 2015-12-15
1003289125 Ashley Diggs Counselor 412 E Chelten Ave, Philadelphia, PA 19144-5754 2015-11-11
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Competitor

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City PHIADELPHIA
Zip Code 19124

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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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