| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1184745572 | PHILADELPHIA MENTAL HEALTH CLINIC | 1235 PINE ST | PHILADELPHIA | PA | 191075945 | |||
| 1447383443 | BIJOUX-LEIST | MARIE-JUDITH | 458 BALLYTORE RD | WYNNEWOOD | PA | 190962309 | ||
| 1720302904 | GREEN | CRYSTALIZ | 1235 PINE ST | PHILADELPHIA | PA | 191075945 |