KENSINGTON HOSPITAL- INTENSIVE OUTPATIENT PROGRAM

NPI # 

Practice Address:

136 Diamond St

Philadelphia, PA, 19122-1721

Practice Phone:

215-426-8100

Practice Fax:

215-965-2344

License Number:

807340

License State:

PA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Methadone

Taxonomy Code:

261QM2800X