Organization
ASSESSMENT & TREATMENT ALTERNATIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RUSSELL PH.D (PRESIDENT)
(215) 405-2100
Entity
Organization
Contact information
Practice address
1235 VINE ST, PHILADELPHIA, PA 19107-1111
(215) 405-2100
(215) 405-2108
Mailing address
1235 VINE ST, PHILADELPHIA, PA 19107-1111
(215) 405-2100
(215) 405-2108
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
102810
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100777348
—
PA
Enumeration date
01/05/2007
Last updated
03/10/2016
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