Organization
INTERIM HOUSE INC
Active
Organization
INTERIM HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTE PENNINGTON (BILLING COORDINATOR)
(215) 731-2042
Entity
Organization
Contact information
Practice address
333 W UPSAL ST, PHILADELPHIA, PA 19119-4010
(215) 731-2042
(267) 765-2380
Mailing address
333 W UPSAL ST, PHILADELPHIA, PA 19119-4010
(215) 731-2042
(267) 765-2380
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
06/26/2008
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