Organization
WANPAE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PATTERSON JR. B.A. FINANCE (PRESIDENT)
(267) 570-7757
Entity
Organization
Contact information
Practice address
1622 CATHARINE ST, PHILADELPHIA, PA 19146-2021
(267) 570-7757
Mailing address
1622 CATHARINE ST, PHILADELPHIA, PA 19146-2021
(267) 570-7757
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
PA
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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