Organization · Type 2 NPI
Wedge Medical Center, PC
Addiction (Substance Use Disorder) Counselor · Philadelphia, PA
NPI number
1215176342
Active
Practice location
4243 Frankford Avenue
Philadelphia, PA 19124
Fax (215) 744-1400
Mailing address
6701 N Broad St
Philadelphia, PA 19126-2837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 807343 (PA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1215176342
Wedge Medical Center, PC's National Provider Identifier is 1215176342, issued on Feb 12, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 12, 2009.