Organization
RE-ENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANCE HUDSON (EXECUTIVE DIRECTOR)
(215) 850-9656
Entity
Organization
Contact information
Practice address
3331 POWELTON AVE, PHILADELPHIA, PA 19104-2725
(215) 222-2770
(215) 222-3165
Mailing address
PO BOX 7, BIRDSBORO, PA 19508-0007
(215) 222-2770
(215) 222-3165
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
807245
PA
324500000X
Substance Abuse Rehabilitation Facility
807245
PA
Other
Enumeration date
01/16/2007
Last updated
02/24/2016
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