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General NPI Number Information
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NPI Number | 1083518393
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Entity Type | Organization
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Legal Business Name | JEVS HUMAN SERVICES
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 3315 KIRKWOOD HWY
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City | WILMINGTON
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State | DE
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Zip | 19808-6131
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Country | US
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Telephone | 302-690-0140
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Fax |
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Provider Business Mailing Address
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Address Line | 1845 WALNUT ST FL 7
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City | PHILADELPHIA
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State | PA
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Zip | 19103-4713
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DEPUTY CHIEF PROGRAM OFFICER
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Name | MARY HORSTMANN
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Credential |
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Telephone | 215-614-8355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State | NULL
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