| NPI | 1023173762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FISHMAN Executive Director 215-951-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: PA 1000017080165) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2009-09-16 |