Organization · Type 2 NPI
Thomas Jefferson University
Substance Use Disorder Rehabilitation Clinic/Center · Philadelphia, PA
NPI number
1972622306
Active
Practice location
1239 Spring Garden St
Philadelphia, PA 19123-3206
Fax (215) 763-4640
Mailing address
1233 Locust St Ste 401
Philadelphia, PA 19107-5459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 800000127 (PA) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1972622306
Thomas Jefferson University's National Provider Identifier is 1972622306, issued on Mar 28, 2007. 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 Oct 17, 2017.