Provider Demographics
NPI:1184016651
Name:THW GROUP LLC
Entity Type:Organization
Organization Name:THW GROUP LLC
Other - Org Name:THE HEALING WAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:YANOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-335-3520
Mailing Address - Street 1:7900 FRANKFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19136-3041
Mailing Address - Country:US
Mailing Address - Phone:215-335-3520
Mailing Address - Fax:215-335-3130
Practice Address - Street 1:7900 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19136-3041
Practice Address - Country:US
Practice Address - Phone:215-335-3520
Practice Address - Fax:215-335-3130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-20
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA807425261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone