James Nathaniel

NPI #1063895571 in Philadelphia, Pennsylvania

Provider Information

NPI Number
1063895571
Entity Type
Organization
Organization Name
James Nathaniel
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Jul 1, 2015
Last Updated
Jul 1, 2015

Practice Location

Address
9 W PHIL ELLENA ST
ZIP Code
19119-2725
Phone
(267) 334-9523

Authorized Official

Name
MR. JAMES L NATHANIEL JR.
Title
OWNER
Phone
(267) 334-9523

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness

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