| Soar Corp | |
|
33 Williams St Lansdowne PA 19050 | |
| (610) 622-1114 | |
| Not Available |
| Full Name | Soar Corp |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 33 Williams St, Lansdowne, Pennsylvania |
| Authorized Official Name and Position | Christine K Campling (CREDENTIALING) |
| Authorized Official Contact | 6109311217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soar Corp 33 Williams St Lansdowne PA 19050-2730 Ph: (610) 622-1114 | Soar Corp 33 Williams St Lansdowne PA 19050 Ph: (610) 622-1114 |
| NPI Number | 1376863043 |
|---|---|
| Provider Enumeration Date | 06/04/2010 |
| Last Update Date | 08/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376863043 | NPI | - | NPPES |
| 1020553790004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM2800X | Clinic/center - Methadone | 237089 (Pennsylvania) | Primary |
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