Northeast Treatment Centers

NPI 1053436212 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1053436212
Enumeration Date 03/20/2007
Last Updated 06/30/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JONATHAN JONATHAN
Position CHIEF FINANCIAL OFFICER
Phone (215) 451-7000
Fax (215) 451-7110
Practice Location
2205 BRIDGE ST
PHILADELPHIA PA, 19137-1313, US
Phone (215) 451-7000
Fax (215) 451-7110
Business Location
499 N 5TH ST
SUITE A
PHILADELPHIA PA, 19123-4005, US
Phone (215) 451-7000
Fax (215) 451-7110
Toxanomy
Taxonomy Code 324500000X
License State Pennsylvania
License Number 910194
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According to our database, Northeast Treatment Centers NPI is 1053436212, taxonomy code is 324500000X and license number is 910194, license state is located at Pennsylvania. Northeast Treatment Centers physically located at 2205 Bridge St, Philadelphia PA, 19137-1313. NPI Number 1033115704 has the healthcare provider type.

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1053436212 NPI number is provided on an as is basis without warranty of any kind. 1053436212 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Treatment Centers are for informational purposes only.