Organization
PUBLIC HEALTH MANAGEMENT CORP
Active
Other names
Forensic Intensive Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANTE PENNINGTON (BILLING COORDINATOR)
(215) 731-2042
Entity
Organization
Contact information
Practice address
1500 MARKET ST, CENTRE SQUARE EAST, PHILADELPHIA, PA 19102-2100
(215) 731-2042
Mailing address
1500 MARKET ST, CENTRE SQUARE EAST, PHILADELPHIA, PA 19102-2100
(215) 731-2042
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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