OrganizationActive
Addiction Medicine and Health Advocates, Incorporated
NPI 1235205584 · Methadone Clinic · Philadelphia, PA
Provider details
- NPI number
- 1235205584
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Authorized official
- Robert Holmes, Exexcutive Director
- License
- 807161 (PA)
Practice location
928 Market St
Philadelphia, PA 19107-4226
Phone: (215) 923-4202
Fax: (215) 923-4751
Mailing address
928 Market St
Philadelphia, PA 19107-4226
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2016-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.