Organization
INTERIM HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD J COHEN PHD (PRESIDENT)
(215) 985-2501
Entity
Organization
Contact information
Practice address
333 W UPSAL STREET, PHILADELPHIA, PA 19119
(215) 849-4606
(215) 849-3776
Mailing address
333 W UPSAL STREET, PHILADELPHIA, PA 19119
(215) 849-4606
(215) 849-3776
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
880149
PA
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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