NPI 1063895571

James Nathaniel

Organisation Mental Illness Community Based Residential Treatment Facility Philadelphia, PA

Practice location

Address: 9 W Phil Ellena St, Philadelphia, PA 19119-2725
Phone: (267) 334-9523
Mailing address: 9 W. Phil-Ellena Street, Philadelphia, PA 19119

Authorised official

Name: James L Nathaniel
Title: Owner
Phone: (267) 334-9523

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Pennsylvania →

Registry record

NPI: 1063895571
Entity type: Organization
NPI issued: 1 Jul 2015
Record last updated: 1 Jul 2015

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.