Organization
SOBRIETY THROUGH OUT PATIENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK HEARD PHD (CEO)
(215) 227-7867
Entity
Organization
Contact information
Practice address
2534-36 N. BROAD ST, SUITE 200, PHILADELPHIA, PA 19132
(215) 227-7867
(215) 227-5268
Mailing address
2534-36 N. BROAD STREET, SUITE 200, PHILADELPHIA, PA 19132-4013
(215) 227-7867
(215) 227-5268
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
807213
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007369710009
—
PA
Enumeration date
12/26/2007
Last updated
12/26/2007
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