Provider Demographics
NPI:1730225855
Name:PHILADELPHIA CLPPP
Entity type:Organization
Organization Name:PHILADELPHIA CLPPP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:PALERMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-685-2788
Mailing Address - Street 1:2100 W GIRARD AVE
Mailing Address - Street 2:BLDG. #3
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-1400
Mailing Address - Country:US
Mailing Address - Phone:215-685-2788
Mailing Address - Fax:215-685-2978
Practice Address - Street 1:2100 W GIRARD AVE
Practice Address - Street 2:BLDG. #3
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-1400
Practice Address - Country:US
Practice Address - Phone:215-685-2788
Practice Address - Fax:215-685-2978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management