Organization
SOBRIETY THROUGH OUT PATIENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK E. HEARD PHD (CEO)
(215) 227-7867
Entity
Organization
Contact information
Practice address
2534 N BROAD ST, SUITE 200, PHILADELPHIA, PA 19132-4013
(215) 227-7867
(215) 227-5268
Mailing address
2534 N BROAD ST, SUITE 200, PHILADELPHIA, PA 19132-4013
(215) 227-7867
(215) 227-5268
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
807213
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007369710006
—
PA
Enumeration date
02/08/2007
Last updated
08/22/2020
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