institution
West Philadelphia Community Mh Consortium Inc.
Methadone Clinic in Philadelphia, Pennsylvania
NPI 1669599973

West Philadelphia Community Mh Consortium Inc. is a Methadone Clinic based in Philadelphia, PA and is specialized in Methadone. West Philadelphia Community Mh Consortium Inc. practices in Philadelphia, PA. The NPI Number for West Philadelphia Community Mh Consortium Inc. is 1669599973 and holds a License No. 1007155230047 (Pennsylvania).

The current practice location address for West Philadelphia Community Mh Consortium Inc. is 451 S University Ave, Philadelphia, PA and can be reached out via phone at 215-596-8100 and via fax at 215-382-4405.

Location: 451 S University Ave, Philadelphia, PA, 19104-3153
institution
Provider Profile Details
NPI Number
1669599973
Provider Name
West Philadelphia Community Mh Consortium Inc.
Credential
Provider Entity Type
Organization
Address
451 S University Ave, Philadelphia, PA, 19104-3153
Phone Number
215-596-8100
Fax Number
215-382-4405
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007155230047 05 PA
institution
Provider Business Practice Location Address Details
Address
451 S University Ave
City
State
Zip
19104-4544
Phone Number
215-596-8100
Fax Number
215-382-4405
person
Provider Business Mailing Address Details
Address
451 S University Ave
City
State
Zip
19104-4544
Phone Number
215-596-8100
Fax Number
215-382-4405
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
1007155230047 (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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