| NPI | 1023287711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SHVARTSBURD CEO/Program Sponsor 215-322-6590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: PA 807405) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2018-08-14 |