Provider Demographics
NPI:1699048173
Name:NET TREATMENT SERVICES, INC
Entity type:Organization
Organization Name:NET TREATMENT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLOMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-451-7100
Mailing Address - Street 1:499 N 5TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-4005
Mailing Address - Country:US
Mailing Address - Phone:215-451-7100
Mailing Address - Fax:215-451-7110
Practice Address - Street 1:1709 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-1913
Practice Address - Country:US
Practice Address - Phone:215-546-8060
Practice Address - Fax:215-451-7110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA311749OtherKEYSTONE HEALTH PLAN EAST
PA273261OtherMANAGED HEALTH NETWORK
DE273261OtherMANAGED HEALTH NETWORK
DE1000022246Medicaid
PA046410000OtherMAGELLAN
DE159997OtherBLUE CROSS OF DELAWARE
PA0004972000OtherINDEPENDENCE BLUE CROSS
PA100733886Medicaid
DE046410000OtherMAGELLAN
PA1000838OtherCOMMUNITY BEHAVIORAL HEALTH