Provider Demographics
NPI:1215558374
Name:MODERN INTERVENTION STRATEGIES
Entity type:Organization
Organization Name:MODERN INTERVENTION STRATEGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR IN
Authorized Official - Prefix:
Authorized Official - First Name:SALOME
Authorized Official - Middle Name:
Authorized Official - Last Name:SAAH
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:626-476-5691
Mailing Address - Street 1:7639 BROOKHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19151-2023
Mailing Address - Country:US
Mailing Address - Phone:626-476-5691
Mailing Address - Fax:
Practice Address - Street 1:81 BUNNING DR
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4162
Practice Address - Country:US
Practice Address - Phone:626-476-5691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-29
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health