OrganizationActive
Effective Interpersonal Counseling Services
NPI 1780043844 · Point of Service · Philadelphia, PA
Provider details
- NPI number
- 1780043844
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Authorized official
- Jonathan Clark, Owner
- License
- 6339902 (PA)
Mailing address
1522b Gregg St
Philadelphia, PA 19115-4283
Registry dates
- Enumerated
- 2016-02-17
- Last updated
- 2016-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.