Organization
ADAPTIVE CARE THERAPUTICS
Active
Parent organization
ADAPTIVE CARE SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADAPTIVE CARE SERVICES
Authorized official
MR. JAWANZA JAJA MCCLAIN (OWNER/ADMINISTRATING PARTNER)
(215) 346-6681
Entity
Organization
Contact information
Practice address
3524 WALLACE ST, PHILADELPHIA, PA 19104-1921
(215) 346-6681
Mailing address
3524 WALLACE ST, PHILADELPHIA, PA 19104-1921
(215) 346-6681
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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