| Rest Recovery House Inc | |
|
6560 Market St Ste 2 Upper Darby PA 19082-3326 | |
| (445) 888-0093 | |
| Not Available |
| Full Name | Rest Recovery House Inc |
|---|---|
| Speciality | Counselor |
| Location | 6560 Market St Ste 2, Upper Darby, Pennsylvania |
| Authorized Official Name and Position | Camilla Williams (BILLER) |
| Authorized Official Contact | 2678790175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rest Recovery House Inc 6560 Market St Ste 2 Upper Darby PA 19082-3326 Ph: () - | Rest Recovery House Inc 6560 Market St Ste 2 Upper Darby PA 19082-3326 Ph: (445) 888-0093 |
| NPI Number | 1902689276 |
|---|---|
| Provider Enumeration Date | 08/18/2023 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Medicare PECOS PAC ID | 3577905421 |
|---|---|
| Medicare Enrollment ID | O20240523003704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902689276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michelle Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346781333 PECOS PAC ID: 4486096336 Enrollment ID: I20240709004890 |
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