Organization
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
Active
Parent organization
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
Other names
Mercy Philadelphia Hospital Residental Addiction Outpatient
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PA
Authorized official
MR. JOSEPH BRADLEY (CFO)
(610) 567-6771
Entity
Organization
Contact information
Practice address
501 S 54TH ST, PHILADELPHIA, PA 19143-1900
(215) 748-9000
Mailing address
1 W ELM ST FL 2, CONSHOHOCKEN, PA 19428-4108
(610) 567-6000
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007306820141
—
PA
Enumeration date
06/24/2008
Last updated
06/24/2008
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