Organization
SOUTHWEST NU-STOP, INC.
Active
Organization
SOUTHWEST NU-STOP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LLOYD THOMAS REID PH.D. (EXECUTIVE DIRECTOR)
(215) 729-2014
Entity
Organization
Contact information
Practice address
5616 WOODLAND AVE, PHILADELPHIA, PA 19143-5610
(215) 729-2017
(215) 729-2041
Mailing address
5616 WOODLAND AVE, PHILADELPHIA, PA 19143-5610
(215) 729-2017
(215) 729-2041
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
807374
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018064500001
—
PA
05
—
0018064500002
—
PA
05
—
0018064500003
—
PA
05
—
0018064500004
—
PA
Enumeration date
03/30/2007
Last updated
08/22/2020
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