Provider Demographics
NPI:1720713555
Name:TRUE VINEYARD PEOPLE'S HEALTH COALITION
Entity Type:Organization
Organization Name:TRUE VINEYARD PEOPLE'S HEALTH COALITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JULIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-997-0144
Mailing Address - Street 1:1828 N 27TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19121-2604
Mailing Address - Country:US
Mailing Address - Phone:267-326-3422
Mailing Address - Fax:
Practice Address - Street 1:1828 N 27TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19121-2604
Practice Address - Country:US
Practice Address - Phone:267-997-0144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-16
Last Update Date:2022-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty