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Milestone Rehabilitation, Llc
Methadone Clinic in Philadelphia, Pennsylvania
NPI 1528310604

Milestone Rehabilitation, Llc is a Methadone Clinic based in Philadelphia, PA and is specialized in Methadone. Milestone Rehabilitation, Llc practices in Philadelphia, PA. The NPI Number for Milestone Rehabilitation, Llc is 1528310604 and holds a License No. 807427 (Pennsylvania).

The current practice location address for Milestone Rehabilitation, Llc is 1701 Grant Avenue, Philadelphia, PA and can be reached out via phone at 215-856-7623 and via fax at 215-969-2736.

Location: 1701 Grant Avenue, Philadelphia, PA, 19115-3160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528310604
Provider Name
Milestone Rehabilitation, Llc
Credential
Provider Entity Type
Organization
Address
1701 Grant Avenue, Philadelphia, PA, 19115-3160
Phone Number
215-856-7623
Fax Number
215-969-2736
Provider Enumeration Date
10/12/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1701 Grant Avenue
City
Philadelphia
State
Pennsylvania
Zip
19115-3160
Phone Number
215-856-7623
Fax Number
215-969-2736
person
Provider Business Mailing Address Details
Address
1701 Grant Avenue
City
Philadelphia
State
Pennsylvania
Zip
19115-3160
Phone Number
215-856-7623
Fax Number
215-969-2736
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
807427 (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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