Organization
KENSINGTON HOSPITAL OUTPATIENT TREATMENT PROGRAM
Active
Parent organization
KENSINGTON HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENSINGTON HOSPITAL
Authorized official
MS. EILEEN HAUSE M.B.A. (CHIEF EXECUTIVE OFFICER)
(215) 426-8100
Entity
Organization
Contact information
Practice address
136 DIAMOND ST, PHILADELPHIA, PA 19122-1721
(215) 426-8100
(215) 965-2344
Mailing address
136 DIAMOND ST, PHILADELPHIA, PA 19122-1721
(215) 426-8100
(215) 965-2344
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
807340
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007717290013
—
PA
Enumeration date
01/08/2007
Last updated
06/17/2008
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