Organization · Type 2 NPI

Mercy Catholic Medical Center of Southeastern PA

Substance Use Disorder Rehabilitation Clinic/Center · Philadelphia, PA

NPI number 1801057617 Active

Practice location

501 S 54th St
Philadelphia, PA 19143-1900

Mailing address

1 W Elm St Fl 2
Conshohocken, PA 19428-4108

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

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About NPI 1801057617

Mercy Catholic Medical Center of Southeastern PA's National Provider Identifier is 1801057617, issued on Jun 24, 2008. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 24, 2008.