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NPI Code Detail

MEDICARE: ONE DAY AT A TIME, INC.

MEDICARE: ONE DAY AT A TIME, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor
3104100000XSocial Worker
4172V00000XCommunity Health Worker
5251K00000XPublic Health or Welfare Agency
6251B00000XCase Management Agency

General Provider Information

NPI Number : 1346694726
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONE DAY AT A TIME, INC.
Provider Business Mailing Address
First Line : 2532 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19132-4013
Country : US
Telephone Number : 215-226-0485
Fax Number : 215-226-7869
Provider Business Practice Location Address
First Line : 2432 W LEHIGH AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19132-3236
Country : US
Telephone Number : 215-227-0485
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. MEL WELLS
Credential :
Telephone Number : 215-226-7860
Provider Enumeration Date : 04/21/2016
Last Update Date : 04/21/2016

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Directions to “ONE DAY AT A TIME, INC. ” Practice Location

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