Organization
ADDICTION MEDICINE AND HEALTH ADVOCATES, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT HOLMES MSW, LCSW (EXEXCUTIVE DIRECTOR)
(215) 923-4202
Entity
Organization
Contact information
Practice address
928 MARKET ST, PHILADELPHIA, PA 19107-4226
(215) 923-4202
(215) 923-4751
Mailing address
928 MARKET ST, PHILADELPHIA, PA 19107-4226
(215) 923-4202
(215) 923-4751
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
807161
PA
261Q00000X
Clinic/Center
807161
PA
261QM2800X
Methadone Clinic
Primary
807161
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007781200004
—
PA
05
—
1007781200005
—
PA
Enumeration date
11/28/2006
Last updated
01/19/2016
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