Adaptive Care Services
Substance Abuse Rehabilitation Facility in Philadelphia, PA. Organization (NPI-2).
NPI number1417311150
StatusActive
Last updated in NPPESApr 8, 2016
Details
- NPI
- 1417311150
- Entity type
- Organization (NPI-2)
- Legal business name
- Adaptive Care Services
- Organization subpart
- No
- Enumeration date
- Apr 8, 2016
- Last updated
- Apr 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Practice location
3524 Wallace StPhiladelphia, PA 19104-1921
Phone 215-346-6681
Mailing address
3524 Wallace StPhiladelphia, PA 19104-1921
Phone 215-346-6681
Authorized official
Jawanza Jaja Mcclain
Owner/Administrating Partner
2153466681
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