| Partners In Recovery | |
|
4040 Market St Philadelphia PA 19104-3003 | |
| (215) 895-5588 | |
| Not Available |
| Full Name | Partners In Recovery |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4040 Market St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Donna K Busch (PAYER CONTRACT SPECIALIST) |
| Authorized Official Contact | 4452063028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Partners In Recovery 111 Elwyn Road Attn: Partners In Recovery Media PA 19063-4622 Ph: (215) 895-5588 | Partners In Recovery 4040 Market St Philadelphia PA 19104-3003 Ph: (215) 895-5588 |
| NPI Number | 1366091340 |
|---|---|
| Provider Enumeration Date | 09/11/2019 |
| Last Update Date | 02/16/2022 |
| Certification Date | 02/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366091340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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