KENSINGTON HOSPITAL OUTPATIENT TREATMENT PROGRAM NPI 1922156314

NPI Information

KENSINGTON HOSPITAL OUTPATIENT TREATMENT PROGRAM is a methadone clinic center in Philadelphia, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. KENSINGTON HOSPITAL OUTPATIENT TREATMENT PROGRAM NPI is 1922156314. The provider is registered as an organization entity type.

The provider's business location address is:

136 DIAMOND ST
PHILADELPHIA, PA
ZIP 19122-721
Phone: (215) 426-8100
Fax: (215) 965-2344

The provider's authorized official is Eileen Hause .
The authorized official title is Chief Executive Officer and has the following contact phone number (215) 426-8100.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 6/17/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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