Organization
PATH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER BOGUSLAVSKY (CLINICIAN)
(215) 728-4694
Entity
Organization
Contact information
Practice address
8220 CASTOR AVE, PHILADELPHIA, PA 19152-2729
(215) 728-4694
(215) 745-5511
Mailing address
8220 CASTOR AVE, PHILADELPHIA, PA 19152-2729
(215) 728-4694
(215) 745-5511
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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