Organization
MPATH LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHARLKISIT CARTER (MANAGER)
(215) 300-7376
Entity
Organization
Contact information
Practice address
1222 W CAMBRIA ST, PHILADELPHIA, PA 19133-1230
(215) 300-7376
Mailing address
1222 W CAMBRIA ST, PHILADELPHIA, PA 19133-1230
(215) 300-7376
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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