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AWJW1 LLC NPI 1457712218


NPI Information

NPI: 1457712218
Provider Name: AWJW1 LLC

Doing Business As: SOBRIETY SOLUTIONS PA

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 39D2260511

Address:
1000 GERMANTOWN PIKE STE E1
PLYMOUTH MEETING, PA
ZIP 19462
Phone: (484) 965-9529
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AWJW1 LLC is a rehabilitation and substance use disorder clinic center in Plymouth Meeting, PA. AWJW1 LLC NPI is 1457712218. The provider is registered as an organization entity type.
The provider Is Doing Business As Sobriety Solutions Pa.

The provider's business location address is:

1000 GERMANTOWN PIKE STE E1
PLYMOUTH MEETING, PA
ZIP 19462-485
Phone: (484) 965-9529

The provider's authorized official is Steve Kushner .
The authorized official title is Chief Clincial Officer and has the following contact phone number (484) 965-9524.

The CLIA number assigned to this NPI record is 39D2260511 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2016 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderPC007754PENNSYLVANIAYes

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: 4/28/2024

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