Organization
ROAD TO INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANEA HESTER (CEO)
(484) 447-1948
Entity
Organization
Contact information
Practice address
724 ATWOOD RD, PHILADELPHIA, PA 19151-3702
(267) 366-5147
Mailing address
724 ATWOOD RD, PHILADELPHIA, PA 19151-3702
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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