NPI 1023793106

Mpath Living LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Philadelphia, PA

Practice location

Address: 1222 W Cambria St, Philadelphia, PA 19133-1230
Phone: (215) 300-7376

Authorised official

Name: Kharlkisit Carter
Title: Manager
Phone: (215) 300-7376

Registered specialties (3)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X

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Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 324500000X

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Registry record

NPI: 1023793106
Entity type: Organization
NPI issued: 16 Jun 2023
Record last updated: 16 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.