Provider Demographics
NPI:1912522525
Name:COURDEA CENTER INCORPORATED
Entity type:Organization
Organization Name:COURDEA CENTER INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:LAPP
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:215-242-2235
Mailing Address - Street 1:2000 HAMILTON ST STE 304
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-3863
Mailing Address - Country:US
Mailing Address - Phone:215-242-2235
Mailing Address - Fax:215-242-3974
Practice Address - Street 1:2000 HAMILTON ST STE 304
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-3863
Practice Address - Country:US
Practice Address - Phone:215-242-2235
Practice Address - Fax:215-242-3974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health