OrganizationActive
Kensington Hospital- Intensive Outpatient Program
NPI 1336302017 · Methadone Clinic · Philadelphia, PA
Provider details
- NPI number
- 1336302017
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Parent organization
- Kensington Hospital
- Organization subpart
- Yes
- Authorized official
- Eileen Hause, Ceo(215) 426-8100
- License
- 807340 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
136 Diamond St
Philadelphia, PA 19122-1721
Phone: (215) 426-8100
Fax: (215) 965-2344
Approximate (ZIP-level) locationGet directions
Mailing address
136 Diamond St
Philadelphia, PA 19122-1721
Registry dates
- Enumerated
- 2008-07-03
- Last updated
- 2008-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.