1922139179 NOVA III

Community/Behavioral Health Agency

Active

Basic Information

Organization Name
NOVA III
Enumeration Date
March 8, 2007
Last Update
October 5, 2015
Authorized Official
DYANN M ROTH
CEO
Phone: (215) 951-0300

Practice Location

Address
1101 W. SPENCER ST
SUITE 406
PHILADELPHIA, PA 191413239
Phone
(215) 951-0300

Mailing Address

Address
4700 WISSAHICKON AVE
SUITE 126
PHILADELPHIA, PA 191444248
Phone
(215) 951-0300

Specialties & Taxonomies

Specialty Code Classification License State Primary
Mental Illness Community Based Residential Treatment Facility
320800000X Community Based Residential Treatment Facility, Mental Illness N/A PA No
Substance Abuse Rehabilitation Facility
324500000X Substance Abuse Rehabilitation Facility N/A PA No
Substance Use Disorder Rehabilitation Clinic/Center
Rehabilitation, Substance Use Disorder
261QR0405X Clinic/Center N/A PA No
Community/Behavioral Health Agency
251S00000X Community/Behavioral Health N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
1000017080494 05 PA N/A

Frequently Asked Questions

What is NOVA III's NPI number?
NOVA III's NPI number is 1922139179.
Which doctor has NPI number 1922139179?
The doctor with NPI number 1922139179 is NOVA III.
What is NOVA III's practice address?
NOVA III's practice address is 1101 W. SPENCER ST, SUITE 406, PHILADELPHIA, PA, 191413239.
Which doctor practices at 1101 W. SPENCER ST, SUITE 406, PHILADELPHIA, PA, 191413239?
NOVA III practices at 1101 W. SPENCER ST, SUITE 406, PHILADELPHIA, PA, 191413239.
What is NOVA III's mailing address?
NOVA III's mailing address is 4700 WISSAHICKON AVE, SUITE 126, PHILADELPHIA, PA, 191444248.
What is NOVA III's phone number?
NOVA III's phone number is (215) 951-0300.
Who is (215) 951-0300?
(215) 951-0300 is the phone number for NOVA III.
What is NOVA III's specialty?
NOVA III's specialty is Community/Behavioral Health Agency.
What type of doctor is NOVA III?
NOVA III is a Community/Behavioral Health Agency.
Is NOVA III a Community/Behavioral Health?
Yes, NOVA III is a Community/Behavioral Health.
Is NOVA III still practicing?
Yes, NOVA III is currently practicing.
Is NOVA III accepting new patients?
NOVA III may be accepting new patients. Please call their office at (215) 951-0300 to inquire about availability.
Is NPI 1922139179 still active?
Yes, NPI 1922139179 is currently active.
Where does NOVA III practice?
NOVA III practices in PHILADELPHIA, PA.