NPI 1518407519

Forget Me Knot Youth Services

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Philadelphia, PA

Practice location

Address: 2321 N Broad Street, Philadelphia, PA 19132
Phone: (215) 758-1153

Authorised official

Name: Quinzelle Bethea
Title: Director
Phone: (215) 758-1153

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1518407519
Entity type: Organization
NPI issued: 24 Feb 2017
Record last updated: 24 Feb 2017

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.