Organization
THE KING'S HOUSE
Active
Organization
THE KING'S HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL AZZINARO (CHIEF EXECUTIVE OFFICER)
(267) 639-5185
Entity
Organization
Contact information
Practice address
3509 N AMERICAN ST, PHILADELPHIA, PA 19140-5701
(267) 639-5185
(267) 639-5189
Mailing address
3509 N AMERICAN ST, PHILADELPHIA, PA 19140-5701
(267) 639-5185
(267) 639-5189
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
807409
PA
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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