| NPI | 1043765621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A MANGANO Vice President 215-464-4450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2018-08-14 |