Provider Demographics
NPI:1790284149
Name:PHILADELPHIA HEALTH MANAGEMENT CORPORATION
Entity Type:Organization
Organization Name:PHILADELPHIA HEALTH MANAGEMENT CORPORATION
Other - Org Name:PROMISES AT MILLCREEK PARTIAL PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR SHS
Authorized Official - Prefix:
Authorized Official - First Name:DINETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-985-2553
Mailing Address - Street 1:1500 MARKET STREET
Mailing Address - Street 2:LM 500 WEST TOWER
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102
Mailing Address - Country:US
Mailing Address - Phone:267-765-2347
Mailing Address - Fax:
Practice Address - Street 1:801 N 48TH ST STE 3
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19139-1854
Practice Address - Country:US
Practice Address - Phone:215-883-7095
Practice Address - Fax:267-592-4172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health