Provider Demographics
NPI:1891973624
Name:WES HEALTH SYSTEM
Entity Type:Organization
Organization Name:WES HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR CRISIS/MATES UNIT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:SLOAN-MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:215-456-2668
Mailing Address - Street 1:1315 WINDRIM AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-2710
Mailing Address - Country:US
Mailing Address - Phone:215-455-3900
Mailing Address - Fax:215-754-0123
Practice Address - Street 1:1315 WINDRIM AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-2710
Practice Address - Country:US
Practice Address - Phone:215-455-3900
Practice Address - Fax:215-754-0123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health