Organization
SOBRIETY THROUGH OUT PATIENT, INC.
Active
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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