| Naitre Corporation | |
|
1753 S Ringgold St Philadelphia PA 19145-1808 | |
| (267) 879-1616 | |
| Not Available |
| Full Name | Naitre Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1753 S Ringgold St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Demetre Pough (CEO) |
| Authorized Official Contact | 2678791616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Naitre Corporation 6817 Oakley St Philadelphia PA 19111-3914 Ph: (267) 879-1616 | Naitre Corporation 1753 S Ringgold St Philadelphia PA 19145-1808 Ph: (267) 879-1616 |
| NPI Number | 1508458571 |
|---|---|
| Provider Enumeration Date | 02/10/2021 |
| Last Update Date | 02/10/2021 |
| Certification Date | 01/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508458571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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