Organization
PENN
Active
Organization
PENN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE VERNELL MOSES III MA; CADC (BEHAVIORAL HEALTH/ADDICTION'S COUNS)
(215) 662-8724
Entity
Organization
Contact information
Practice address
4040 MARKET ST FL 2, PHILADELPHIA, PA 19104-3003
(215) 662-8747
Mailing address
4040 MARKET ST FL 2, PHILADELPHIA, PA 19104-3003
(215) 662-8747
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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