institution
Kensington Hospital- Intensive Outpatient Program
Methadone Clinic in Philadelphia, Pennsylvania
NPI 1336302017

Kensington Hospital- Intensive Outpatient Program is a Methadone Clinic based in Philadelphia, PA and is specialized in Methadone. Kensington Hospital- Intensive Outpatient Program practices in Philadelphia, PA. The NPI Number for Kensington Hospital- Intensive Outpatient Program is 1336302017 and holds a License No. 807340 (Pennsylvania).

The current practice location address for Kensington Hospital- Intensive Outpatient Program is 136 Diamond St, Philadelphia, PA and can be reached out via phone at 215-426-8100 and via fax at 215-965-2344. You can also correspond with Kensington Hospital- Intensive Outpatient Program through the mailing address at 136 DIAMOND ST, PHILADELPHIA, PA - 19122-1721 (mailing address contact number: 215-426-8100).

Location: 136 Diamond St, Philadelphia, PA, 19122-1721
institution
Provider Profile Details
NPI Number
1336302017
Provider Name
Kensington Hospital- Intensive Outpatient Program
Credential
Provider Entity Type
Organization
Address
136 Diamond St, Philadelphia, PA, 19122-1721
Phone Number
215-426-8100
Fax Number
215-965-2344
Provider Enumeration Date
07/03/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1007717290019 05 PA
institution
Provider Business Practice Location Address Details
Address
136 Diamond St
City
State
Zip
19122-1721
Phone Number
215-426-8100
Fax Number
215-965-2344
person
Provider Business Mailing Address Details
Address
136 Diamond St
City
State
Zip
19122-1721
Phone Number
215-426-8100
Fax Number
215-965-2344
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
807340 (Pennsylvania)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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