| Merakey Parkside Recovery | |
|
1745 N 4th St Philadelphia PA 19122-3008 | |
| (215) 836-3131 | |
| (215) 273-5975 |
| Full Name | Merakey Parkside Recovery |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1745 N 4th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Norman E Tilson (CORP DIRECTOR OF BUSINESS OPERATION) |
| Authorized Official Contact | 2158363131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merakey Parkside Recovery 620 Germantown Pike Lafayette Hill PA 19444-1810 Ph: (215) 836-3131 | Merakey Parkside Recovery 1745 N 4th St Philadelphia PA 19122-3008 Ph: (215) 836-3131 |
| NPI Number | 1194468413 |
|---|---|
| Provider Enumeration Date | 04/14/2022 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194468413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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