Organization
SOAR CORP
Active
Parent organization
SOAR CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOAR CORP
Authorized official
CHRISTINE K CAMPLING (CREDENTIALING)
(610) 931-1217
Entity
Organization
Contact information
Practice address
33 WILLIAMS ST, LANSDOWNE, PA 19050
(610) 622-1114
Mailing address
33 WILLIAMS ST, LANSDOWNE, PA 19050-2730
(610) 622-1114
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM2800X
Methadone Clinic
Primary
237089
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020553790004
—
PA
Enumeration date
06/04/2010
Last updated
08/31/2018
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