institution
Kensington Hospital Outpatient Treatment Program
Methadone Clinic in Philadelphia, Pennsylvania
NPI 1922156314

Kensington Hospital Outpatient Treatment Program is a Methadone Clinic based in Philadelphia, PA and is specialized in Methadone. Kensington Hospital Outpatient Treatment Program practices in Philadelphia, PA. The NPI Number for Kensington Hospital Outpatient Treatment Program is 1922156314 and holds a License No. 807340 (Pennsylvania).

The current practice location address for Kensington Hospital Outpatient Treatment 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 Outpatient Treatment 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
1922156314
Provider Name
Kensington Hospital Outpatient Treatment 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
01/08/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1007717290013 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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