OrganizationActive
Embolden Community Allies
NPI 1104463736 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Philadelphia, PA
Provider details
- NPI number
- 1104463736
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Cindi Muchoki, Ceo
Practice location
4000 Gypsy Ln Unit 204
Philadelphia, PA 19129-5405
Phone: (267) 810-4866
Mailing address
4000 Gypsy Ln Unit 204
Philadelphia, PA 19129-5405
Registry dates
- Enumerated
- 2019-12-02
- Last updated
- 2019-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.