Organization
RECOVERY LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAKARIA BEN-ADAM (OWNER)
(267) 324-7429
Entity
Organization
Contact information
Practice address
5423 SANSOM ST, PHILADELPHIA, PA 19139-3353
(267) 324-7429
Mailing address
5423 SANSOM ST, PHILADELPHIA, PA 19139-3353
(267) 324-7429
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
261QP2400X
Prison Health Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
282J00000X
Religious Nonmedical Health Care Institution
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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