# MPATH LIVING LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023793106
- **Authorized official:** KHARLKISIT CARTER (MANAGER)
- **Authorized official phone:** (215) 300-7376

## Contact information

- **Practice address:** 1222 W CAMBRIA ST, PHILADELPHIA, PA 19133-1230
- **Practice address phone:** (215) 300-7376
- **Mailing address:** 1222 W CAMBRIA ST, PHILADELPHIA, PA 19133-1230
- **Mailing address phone:** (215) 300-7376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 06/16/2023
- **Last updated:** 06/16/2023