Provider Demographics
NPI:1144820754
Name:THE NAVA CENTER, INC.
Entity type:Organization
Organization Name:THE NAVA CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:SHORE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:267-603-3673
Mailing Address - Street 1:1334 S 18TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-4647
Mailing Address - Country:US
Mailing Address - Phone:267-603-3673
Mailing Address - Fax:
Practice Address - Street 1:1334 S 18TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-4647
Practice Address - Country:US
Practice Address - Phone:610-585-4844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-01
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center