NPI 1639622681

Cosmological LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Philadelphia, PA

Practice location

Address: 5746 N 19th St, Philadelphia, PA 19141-1204
Phone: (215) 771-1819
Fax: (215) 277-7227

Authorised official

Name: Clyde Sanders
Title: Owner
Phone: (215) 771-1819

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Pennsylvania →

Registry record

NPI: 1639622681
Entity type: Organization
NPI issued: 26 Jul 2016
Record last updated: 26 Jul 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.