Provider Demographics
NPI:1316377393
Name:CARE FOUNDATION OF PHILADELPHIA, INC.
Entity Type:Organization
Organization Name:CARE FOUNDATION OF PHILADELPHIA, INC.
Other - Org Name:BEY RECOVERY RESOURCE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:PETTINATI
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:215-232-0492
Mailing Address - Street 1:2500 N 11TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19133-1412
Mailing Address - Country:US
Mailing Address - Phone:215-232-0492
Mailing Address - Fax:215-207-2325
Practice Address - Street 1:2500 N 11TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19133-1412
Practice Address - Country:US
Practice Address - Phone:215-232-0492
Practice Address - Fax:215-207-2325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management