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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