Provider Demographics
NPI:1548550361
Name:STOP & SURRENDER, INC
Entity type:Organization
Organization Name:STOP & SURRENDER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LATOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-225-4626
Mailing Address - Street 1:2522 W HUNTINGDON ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19132-3633
Mailing Address - Country:US
Mailing Address - Phone:215-225-4626
Mailing Address - Fax:215-225-4634
Practice Address - Street 1:2522 W HUNTINGDON ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-3633
Practice Address - Country:US
Practice Address - Phone:215-225-4626
Practice Address - Fax:215-225-4634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA807356251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017300850003OtherPROVIDER ID