NPI 1124474697

Maple Leaf Behavioral Services

Organisation Early Intervention Provider Agency Philadelphia, PA

Practice location

Address: 1332 Disston St, Philadelphia, PA 19111-4502
Phone: (267) 815-8544

Authorised official

Name: Emmanuel Marrero
Title: Ceo
Phone: (267) 815-8544

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in Pennsylvania →

Registry record

NPI: 1124474697
Entity type: Organization
NPI issued: 13 May 2016
Record last updated: 13 May 2016

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.