Organization
LAWRENCE RECOVERY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRELL LAWRENCE (OWNER)
(215) 888-7543
Entity
Organization
Contact information
Practice address
3415 W FRANKLIN ST, BALTIMORE, MD 21229-3054
(215) 888-7543
Mailing address
437 TITAN ST, PHILADELPHIA, PA 19147-5220
(215) 888-7543
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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