Organization
PUBLIC HEALTH MANAGEMENT CORPORATION
Active
Organization
PUBLIC HEALTH MANAGEMENT CORPORATION
Active
Other names
Forensic Intensive Recovery Program
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANTE PENNINGTON (BILLING COORDINATOR)
(215) 731-2042
Entity
Organization
Contact information
Practice address
1500 MARKET ST, CENTRE SQUARE EAST, PHILADELPHIA, PA 19102-2100
(215) 731-2042
Mailing address
1500 MARKET ST, CENTRE SQUARE EAST, PHILADELPHIA, PA 19102-2100
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000016640055
—
PA
Enumeration date
11/11/2008
Last updated
04/07/2017
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