| Sobriety Through Out Patient Inc | |
|
2534-36 N. Broad St Suite 200 Philadelphia PA 19132 | |
| (215) 227-7867 | |
| (215) 227-5268 |
| Full Name | Sobriety Through Out Patient Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2534-36 N. Broad St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Frederick Heard (CEO) |
| Authorized Official Contact | 2152277867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sobriety Through Out Patient Inc 2534-36 N. Broad Street Suite 200 Philadelphia PA 19132-4013 Ph: (215) 227-7867 | Sobriety Through Out Patient Inc 2534-36 N. Broad St Suite 200 Philadelphia PA 19132 Ph: (215) 227-7867 |
| NPI Number | 1528242641 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 12/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528242641 | NPI | - | NPPES |
| 1007369710009 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 807213 (Pennsylvania) | Primary |
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