Organization
I HATE SATAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINA NORTHINGTON (CEO)
(215) 254-4494
Entity
Organization
Contact information
Practice address
5353 LINDBERGH BLVD, PHILADELPHIA, PA 19143
(215) 254-4494
Mailing address
5353 LINDBERGH BLVD, PHILADELPHIA, PA 19143-5829
(215) 254-4494
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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