NPI 1104463736

Embolden Community Allies

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Philadelphia, PA

Practice location

Address: 4000 Gypsy Ln Unit 204, Philadelphia, PA 19129-5405
Phone: (267) 810-4866

Authorised official

Name: Cindi Muchoki
Title: Ceo
Phone: (267) 810-4866

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Pennsylvania →

Registry record

NPI: 1104463736
Entity type: Organization
NPI issued: 2 Dec 2019
Record last updated: 2 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.