Organization
JAMES NATHANIEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L NATHANIEL JR. (OWNER)
(267) 334-9523
Entity
Organization
Contact information
Practice address
9 W PHIL ELLENA ST, PHILADELPHIA, PA 19119-2725
(267) 334-9523
Mailing address
9 W. PHIL-ELLENA STREET, PHILADELPHIA, PA 19119
(267) 334-9523
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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