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Nova Iii
Substance Abuse Rehabilitation Facility in Philadelphia, Pennsylvania
NPI 1922139179

Nova Iii is a Substance Abuse Rehabilitation Facility based in Philadelphia, PA. Nova Iii practices in Philadelphia, PA. The NPI Number for Nova Iii is 1922139179 and holds a License No. (Pennsylvania).

The current practice location address for Nova Iii is 1101 W. Spencer St, Philadelphia, PA and can be reached out via phone at 215-951-0300.

Location: 1101 W. Spencer St, Philadelphia, PA, 19144-4248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922139179
Provider Name
Nova Iii
Credential
Provider Entity Type
Organization
Address
1101 W. Spencer St, Philadelphia, PA, 19144-4248
Phone Number
215-951-0300
Fax Number
Provider Enumeration Date
03/08/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000017080494 05 PA
institution
Provider Business Practice Location Address Details
Address
1101 W. Spencer St
City
Philadelphia
State
Pennsylvania
Zip
19141-3239
Phone Number
215-951-0300
Fax Number
person
Provider Business Mailing Address Details
Address
1101 W. Spencer St
City
Philadelphia
State
Pennsylvania
Zip
19141-3239
Phone Number
215-951-0300
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(Pennsylvania)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
(Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
(Pennsylvania)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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