| NPI | 1013677673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DWAYNE REDDY Executive Director 215-388-2254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X |
| 251G00000X Hospice Care, Community Based | |
| 251K00000X Public Health or Welfare | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2022-05-04 |