Organization
KENSINGTON HOSPITAL INPATIENT NON-HOSPITAL DETOXIFICATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EILEEN HAUSE M.B.A. (CHIEF EXECUTIVE OFFICER)
(215) 426-8100
Entity
Organization
Contact information
Practice address
136 DIAMOND ST, PHILADELPHIA, PA 19122-1721
(215) 426-8100
(215) 965-2344
Mailing address
136 DIAMOND ST, PHILADELPHIA, PA 19122-1721
(215) 426-8100
(215) 965-2344
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
860231
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007717290016
—
PA
Enumeration date
01/08/2007
Last updated
02/19/2016
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