| Interim House Inc | |
|
333 W Upsal Street Philadelphia PA 19119 | |
| (215) 849-4606 | |
| (215) 849-3776 |
| Full Name | Interim House Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 333 W Upsal Street, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Richard J Cohen (PRESIDENT) |
| Authorized Official Contact | 2159852501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interim House Inc 333 W Upsal Street Philadelphia PA 19119 Ph: (215) 849-4606 | Interim House Inc 333 W Upsal Street Philadelphia PA 19119 Ph: (215) 849-4606 |
| NPI Number | 1073650388 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073650388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 880149 (Pennsylvania) | Primary |
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