Provider Demographics
NPI:1578073581
Name:JOY OF LIVING RECOVERY PROGRAM INC
Entity Type:Organization
Organization Name:JOY OF LIVING RECOVERY PROGRAM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAULENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LLANES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-613-7121
Mailing Address - Street 1:4716 LEIPER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-3223
Mailing Address - Country:US
Mailing Address - Phone:215-613-7121
Mailing Address - Fax:267-343-7512
Practice Address - Street 1:4716 LEIPER ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-3223
Practice Address - Country:US
Practice Address - Phone:215-613-7121
Practice Address - Fax:267-343-7512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-04
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health