AWJW1 LLC NPI 1215796115

NPI Information

  • NPI: 1215796115
  • Provider Name: AWJW1 LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 100 S BROAD ST STE 2230
    PHILADELPHIA, PA
    ZIP 19110
  • Phone: (484) 965-9529

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NPI Details

AWJW1 LLC is a rehabilitation and substance use disorder clinic center in Philadelphia, PA. AWJW1 LLC NPI is 1215796115. The provider is registered as an organization entity type.

The provider's business location address is:

100 S BROAD ST STE 2230
PHILADELPHIA, PA
ZIP 19110-021
Phone: (484) 965-9529

The provider's authorized official is Steve Kushner .
The authorized official title is Chief Clinical Officer and has the following contact phone number (484) 965-9529.

The enumeration date for this NPI number is 3/14/2024 and was last updated on 3/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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