NPI 1023941655
Penn
Practice location
- Address
- 4040 Market St Fl 2, Philadelphia, PA 19104-3003
- Phone
- (215) 662-8747
Authorised official
- Name
- Eugene Vernell Moses
- Title
- Behavioral Health/Addiction's Couns
- Phone
- (215) 662-8724
Registered specialties
Substance Use Disorder Rehabilitation Hospital Unit
Primary
Registry record
- NPI
- 1023941655
- Entity type
- Organization
- NPI issued
- 4 Jun 2026
- Record last updated
- 4 Jun 2026
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.