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A & T 215 Holdings LLC

Substance Abuse Rehabilitation Facility in Philadelphia, PA. Organization (NPI-2).

NPI number1356022834
StatusActive
Last updated in NPPESJul 27, 2023

Details

NPI
1356022834
Entity type
Organization (NPI-2)
Legal business name
A & T 215 Holdings LLC
Organization subpart
No
Enumeration date
Jul 27, 2023
Certification date
Jul 27, 2023
Last updated
Jul 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility––Yes
177F00000X Lodging––
276400000X Rehabilitation, Substance Use Disorder Unit––

Practice location

1242 S 20th St
Philadelphia, PA 19146-4338

Phone 267-977-0121

Mailing address

1242 S 20th St
Philadelphia, PA 19146-4338

Phone 267-977-0121

Authorized official

Atiya Groomes
Managing Member
2679770121

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