Provider Demographics
NPI:1275753808
Name:PHIL. COUNTY-DEPT. OF HEALTH TSM
Entity Type:Organization
Organization Name:PHIL. COUNTY-DEPT. OF HEALTH TSM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR DBH MRS
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:COVONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-685-5460
Mailing Address - Street 1:1101 MARKET ST
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-2934
Mailing Address - Country:US
Mailing Address - Phone:215-685-5460
Mailing Address - Fax:215-685-5467
Practice Address - Street 1:701 MARKET ST
Practice Address - Street 2:5TH FLOOR, SUITE 5200
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-1538
Practice Address - Country:US
Practice Address - Phone:215-685-5906
Practice Address - Fax:215-685-5959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management