Wmc

LBN: Wmc
Wmc is an health care organization with primary practice located at 4913 N Broad St , Philadelphia PA 19141-2215. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Specialist. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Wmc can be contacted via phone (215) 329-3200, or through Gallman, Takisa S via phone (215) 276-3922.

Contact Information

Primary practice address
4913 N Broad St Philadelphia PA 19141-2215
Phone: (215) 329-3200
Fax: (215) 329-3217
Website:
Map and Directions
Authorized official contact:
Name: Gallman, Takisa S
Phone: (215) 276-3922

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 192780 Pennsylvania
Behavioral Health & Social Service Providers / Professional 101YP2500X 192780 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X 192780 Pennsylvania
Other Service Providers / Specialist 174400000X 192780 Pennsylvania

Profile Details

NPI number 1114144508
LBN Legal business name Wmc
DBA Doing business as
Authorized official Gallman, Takisa S
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114144508 NPPES
Pennsylvania MEDICAID 0016804930005

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