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Organization
ADDICTION MEDICINE AND HEALTH ADVOCATES, INCORPORATED
Active
Organization
ADDICTION MEDICINE AND HEALTH ADVOCATES, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT HOLMES MSW, LCSW (EXEXCUTIVE DIRECTOR)
(215) 923-4202
Entity
Organization
Contact information
Practice address
928 MARKET ST, PHILADELPHIA, PA 19107-4226
(215) 923-4202
(215) 923-4751
Mailing address
928 MARKET ST, PHILADELPHIA, PA 19107-4226
(215) 923-4202
(215) 923-4751
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
807161
PA
261Q00000X
Clinic/Center
807161
PA
261QM2800X
Methadone Clinic
Primary
807161
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007781200004
—
PA
05
—
1007781200005
—
PA
Enumeration date
11/28/2006
Last updated
01/19/2016
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