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Freedom House

Community/Behavioral Health in Philadelphia, PA. Organization (NPI-2).

NPI number1114225927
StatusActive
Last updated in NPPESMar 2, 2011

Details

NPI
1114225927
Entity type
Organization (NPI-2)
Legal business name
Freedom House
Organization subpart
No
Enumeration date
Mar 2, 2011
Last updated
Mar 2, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
251G00000X Hospice Care, Community Based––
324500000X Substance Abuse Rehabilitation Facility–PA

Practice location

4166 Leidy Ave
Philadelphia, PA 19104

Phone 215-921-4958 · Fax 215-425-5704

Mailing address

4166 Leidy Ave
Philadelphia, PA 19104-1039

Phone 215-921-4958 · Fax 215-425-5706

Authorized official

Calton Tracey Lanier
President
2159214958

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