Provider Demographics
NPI:1629356753
Name:THE CARING CENTER OF PHILADELPHIA II
Entity Type:Organization
Organization Name:THE CARING CENTER OF PHILADELPHIA II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PASTORE
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:267-546-7922
Mailing Address - Street 1:8588 BENTON ST
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-1217
Mailing Address - Country:US
Mailing Address - Phone:267-546-7922
Mailing Address - Fax:215-695-0506
Practice Address - Street 1:8588 BENTON ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19152-1217
Practice Address - Country:US
Practice Address - Phone:267-546-7922
Practice Address - Fax:215-695-0506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty