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.