Provider Demographics
NPI:1467652412
Name:PMHCC, INC
Entity Type:Organization
Organization Name:PMHCC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BORISLOW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:215-546-0300
Mailing Address - Street 1:123 S BROAD ST FL 23
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19109-1034
Mailing Address - Country:US
Mailing Address - Phone:215-546-0300
Mailing Address - Fax:215-790-4971
Practice Address - Street 1:123 S BROAD ST FL 23
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19109-1034
Practice Address - Country:US
Practice Address - Phone:215-546-0300
Practice Address - Fax:215-790-4971
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PMHCC, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management