Organization
BREAKTHROUGH THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DERRICK GRANGER II (OWNER)
(856) 288-2232
Entity
Organization
Contact information
Practice address
1500 MARKET ST. 12TH FLOOR SUITE 75, PHILADELPHIA, PA 19102
(856) 288-2232
Mailing address
2 LOGAN SQ STE 300, PHILADELPHIA, PA 19103-2733
(856) 288-2232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
01/27/2022
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