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Organization
KENSINGTON HOSPITAL- INTENSIVE OUTPATIENT PROGRAM
Active
Organization
KENSINGTON HOSPITAL- INTENSIVE OUTPATIENT PROGRAM
Active
Parent organization
KENSINGTON HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENSINGTON HOSPITAL
Authorized official
MS. EILEEN HAUSE MBA (CEO)
(215) 426-8100
Entity
Organization
Contact information
Practice address
136 DIAMOND ST, PHILADELPHIA, PA 19122-1721
(215) 426-8100
(215) 965-2344
Mailing address
136 DIAMOND ST, PHILADELPHIA, PA 19122-1721
(215) 426-8100
(215) 965-2344
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
807340
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007717290019
—
PA
Enumeration date
07/03/2008
Last updated
07/03/2008
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