NPI | 1023686284 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNN KOVICH CEO 610-844-8295 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 103TH0100X Psychologist, Health Service |
207Q00000X Family Medicine | |
261QM0801X | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM2800X Clinic/Center, Methadone Clinic | |
Enumeration Date | 2021-06-15 |
Last Update Date | 2023-06-06 |