Organization
PHILADELPHIA NEW LEAF LLC
Active
Other names
Advanced Health and Education
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK SILLETTI LCADC (VICE PRESIDENT)
(908) 400-8606
Entity
Organization
Contact information
Practice address
3600 MARKET ST, SUITE 601, PHILADELPHIA, PA 19104-2641
(908) 400-8606
(908) 928-9353
Mailing address
3600 MARKET ST, SUITE 601, PHILADELPHIA, PA 19104-2641
(908) 400-8606
(908) 928-9353
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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